Individual
DR. MICHELLE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 STICKLEY RD, COLUMBIA, SC 29229-6889
(301) 875-6567
Mailing address
631 STICKLEY RD, COLUMBIA, SC 29229-6889
(130) 187-5656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R02162
MD
101YP1600X
Pastoral Counselor
D14115-27
MD
225700000X
Massage Therapist
13459
SC
225700000X
Massage Therapist
RO2162
MD
Other
Enumeration date
03/10/2016
Last updated
03/09/2024
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