Individual
JESSICA LEIGH STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 N MOORE AVE STE 15, MOORE, OK 73160-3612
(405) 443-8003
Mailing address
1901 N MOORE AVE, MOORE, OK 73160-3602
(405) 443-8003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10792
OK
171M00000X
Case Manager/Care Coordinator
—
OK
Other
Enumeration date
05/21/2019
Last updated
08/29/2022
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