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Individual
AMY STEVENSON
Active
Individual
AMY STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC,LADC,CCS, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC2411
ME
101Y00000X
Counselor
CCS3580
ME
101YM0800X
Mental Health Counselor
Primary
MH14923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431835599
—
ME
Enumeration date
10/13/2009
Last updated
05/19/2017
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