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Individual

ANNA MICHELLE STEPHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
870 CORPORATE DR STE 201, LEXINGTON, KY 40503-5418
(859) 223-1000
(859) 223-1000
Mailing address
870 CORPORATE DR STE 201, LEXINGTON, KY 40503-5418
(859) 223-1000
(859) 223-1000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
244765
KY
101YM0800X
Mental Health Counselor
Primary
276180
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100660290
KY
Enumeration date
10/22/2018
Last updated
04/15/2022
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