Provider Demographics
NPI:1548683006
Name:VAN STEENVORT, JADIN KYLE (LCPC)
Entity type:Individual
Prefix:
First Name:JADIN
Middle Name:KYLE
Last Name:VAN STEENVORT
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 N LAST CHANCE GULCH
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4120
Mailing Address - Country:US
Mailing Address - Phone:406-313-8317
Mailing Address - Fax:
Practice Address - Street 1:44 N LAST CHANCE GULCH STE 3
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4158
Practice Address - Country:US
Practice Address - Phone:406-313-8317
Practice Address - Fax:406-313-8317
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7475101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000749730OtherBLUE CROSS-SHIELD OF MONTANA