Individual
MRS. JANET Y STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-0117041
NM
104100000X
Social Worker
Primary
I1141
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01608517
—
NM
05
—
335201
—
AZ
05
—
87901846
—
CO
Enumeration date
10/11/2005
Last updated
10/30/2008
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