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Individual
MR. STEPHEN ANDREW KERESTES
Active
Individual
MR. STEPHEN ANDREW KERESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S, LICDC-CS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC111079
OH
101YP2500X
Professional Counselor
Primary
E1000186SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183616
—
OH
Enumeration date
01/24/2011
Last updated
09/18/2019
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