Provider Demographics
NPI:1366056319
Name:STEINHORST, EVAN PAUL (LGPC)
Entity type:Individual
Prefix:MR
First Name:EVAN
Middle Name:PAUL
Last Name:STEINHORST
Suffix:
Gender:M
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 OELLA AVE APT 227
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4959
Mailing Address - Country:US
Mailing Address - Phone:303-246-1271
Mailing Address - Fax:
Practice Address - Street 1:840 OELLA AVE APT 227
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4959
Practice Address - Country:US
Practice Address - Phone:303-246-1271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-06
Last Update Date:2020-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP10787101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional