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Individual

SANDY S STEVENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIMHP, LADC

Contact information

Practice address
708 FORT CROOK RD N, BELLEVUE, NE 68005-4558
(402) 715-0296
Mailing address
2208 LUCILLE DR, OMAHA, NE 68147-2505
(402) 715-0296

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1273
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1472
NE
101YM0800X
Mental Health Counselor
Primary
2998
NE
101YM0800X
Mental Health Counselor
3680
NE

Other

Enumeration date
02/10/2009
Last updated
06/29/2022
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