# MISS GEORGIA STEPHENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538673702
- **Gender:** F
- **Credential:** CDCA, QMHS AND OCPSA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDCA.170659 | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | OH | — |
| 172V00000X | Community Health Worker | — | OH | — |
| 405300000X | Prevention Professional | OCPSA.4293 | OH | — |

## Other

- **Enumeration date:** 11/27/2017
- **Last updated:** 06/28/2023