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Individual
ERIC STEVENS
Active
Individual
ERIC STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0019971
CO
101YP2500X
Professional Counselor
LPC-2215
WY
101YP2500X
Professional Counselor
LPC-9051
ID
101YP2500X
Professional Counselor
LPC.0019971
CO
Other
Enumeration date
07/06/2011
Last updated
02/16/2024
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