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Individual
KENYA STEPHENSON
Active
Individual
KENYA STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YM0800X
Mental Health Counselor
Primary
—
NC
103K00000X
Behavior Analyst
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871984435
—
NC
Enumeration date
02/18/2015
Last updated
02/19/2015
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