Individual
MRS. SIERRA ROSE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CDCII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
PCOP905
AK
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
372600000X
OR
Other
Enumeration date
02/20/2007
Last updated
01/15/2025
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