Individual
MR. STEPHEN JAY FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, NCSC
Contact information
Practice address
1944 E REZANOF DR, KODIAK, AK 99615-6601
(907) 654-9653
Mailing address
PO BOX 2247, KODIAK, AK 99615-2247
(907) 654-9653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
129193
AK
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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