Individual
CASSIDY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC, LCAS
Contact information
Practice address
530 PARK MEADOWS DR, NEWPORT, NC 28570-8199
(850) 748-6880
Mailing address
530 PARK MEADOWS DR, NEWPORT, NC 28570-8199
(850) 748-6880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15222
NC
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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