Basic Information
| Provider Information | |||||||||
| NPI: | 1851820344 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEINER | ||||||||
| FirstName: | MONIQUE | ||||||||
| MiddleName: | |||||||||
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| Credential: | COUNSELOR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3440 OAKWOOD HILLS PKWY | ||||||||
| Address2: | |||||||||
| City: | EAU CLAIRE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 547017698 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7152142525 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3440 OAKWOOD HILLS PKWY | ||||||||
| Address2: | |||||||||
| City: | EAU CLAIRE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 54701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7152142525 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 15977-131 | WI | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
ID Information
| ID | Type | State | Issuer | Description | 15977-131 | 01 | WI | STATE LICENSE | OTHER |