Provider Demographics
NPI:1992068100
Name:STEPP, SHAWN ROCHELLE (MS, LMHC, CADC)
Entity type:Individual
Prefix:MRS
First Name:SHAWN
Middle Name:ROCHELLE
Last Name:STEPP
Suffix:
Gender:F
Credentials:MS, LMHC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 NEWCASTLE RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-6611
Mailing Address - Country:US
Mailing Address - Phone:319-899-4053
Mailing Address - Fax:
Practice Address - Street 1:1560 BOYSON RD STE B
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-2385
Practice Address - Country:US
Practice Address - Phone:319-899-4053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA035130101YA0400X
IA00849101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)