Individual
MR. NORMAN RAY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
337 N. NAVAJO DRIVE, PAGE, AZ 86040
(928) 645-6840
(928) 645-8158
Mailing address
P.O. BOX 4466, PAGE, AZ 86040
(928) 645-6840
(928) 645-8158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972605
—
AZ
Enumeration date
07/03/2006
Last updated
11/20/2013
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