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Individual
PHYLLIS STEWART
Active
Individual
PHYLLIS STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
94-10-133
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126370
—
OR
Enumeration date
01/11/2006
Last updated
07/13/2026
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