Individual
CRYSTAL MONTE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 RUSSELL PKWY, WARNER ROBINS, GA 31088-7640
(478) 225-9860
Mailing address
406 COVINGTON CV, BYRON, GA 31008-9523
(478) 832-8735
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAT
MAT
GA
Enumeration date
11/02/2019
Last updated
11/02/2019
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