# STEPHANIE ANN FESSENDEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912130386
- **Gender:** F
- **Credential:** LCSW, LMHC, LCADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 00504-C | NV | — |
| 1041C0700X | Clinical Social Worker | 73-079960 | NY | Yes |
| 1041C0700X | Clinical Social Worker | 7737-C | NV | — |

## Other

- **Enumeration date:** 09/01/2009
- **Last updated:** 12/20/2018