Provider Demographics
NPI:1730221839
Name:STEFFENS, VICTOR LYMAN JR (PHD, LMHC, CDP)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:LYMAN
Last Name:STEFFENS
Suffix:JR
Gender:M
Credentials:PHD, LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 CATON WAY SW STE 108
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-1119
Mailing Address - Country:US
Mailing Address - Phone:510-332-2988
Mailing Address - Fax:
Practice Address - Street 1:2018 CATON WAY SW STE 108
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-1119
Practice Address - Country:US
Practice Address - Phone:510-332-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4374101YM0800X
CA45247106H00000X
WA4169101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA101X00000XMedicaid