Provider Demographics
NPI:1295958411
Name:STEELE, NADINE (LAADAC CA, CADCII-CA)
Entity type:Individual
Prefix:MS
First Name:NADINE
Middle Name:
Last Name:STEELE
Suffix:
Gender:F
Credentials:LAADAC CA, CADCII-CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E VINE ST STE 217
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4765
Mailing Address - Country:US
Mailing Address - Phone:909-219-2589
Mailing Address - Fax:
Practice Address - Street 1:10 E VINE ST STE 217
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4765
Practice Address - Country:US
Practice Address - Phone:909-219-2589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2019-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CAAII10110315101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)