Individual
JESSICA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC, MFTC
Contact information
Practice address
10 BOULDER CRESCENT ST STE 101B, COLORADO SPRINGS, CO 80903-3344
(719) 626-1303
(719) 626-1303
Mailing address
10 BOULDER CRESCENT ST STE 101B, COLORADO SPRINGS, CO 80903-3344
(719) 626-1303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001838
CO
101YM0800X
Mental Health Counselor
Primary
LPC.0018230
CO
106H00000X
Marriage & Family Therapist
13816
CO
Other
Enumeration date
12/18/2017
Last updated
04/22/2022
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