Basic Information
| Provider Information | |||||||||
| NPI: | 1912549148 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEGER | ||||||||
| FirstName: | KIMBERLY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3835 HORSESHOE RD | ||||||||
| Address2: | |||||||||
| City: | APPOMATTOX | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245228644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4345479490 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 925 VILLAGE HWY | ||||||||
| Address2: | |||||||||
| City: | RUSTBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245884591 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4345280005 | ||||||||
| FaxNumber: | 4345280004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2019 | ||||||||
| LastUpdateDate: | 10/09/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 0701008682 | VA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.