Individual
JACQUELINE H STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSIOP
Contact information
Practice address
145 W OSTEND ST STE 600, BALTIMORE, MD 21230-3774
(866) 500-0133
(866) 500-0133
Mailing address
145 W OSTEND ST STE 600, BALTIMORE, MD 21230-3774
(866) 500-0133
(866) 500-0133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
MD
103T00000X
Psychologist
Primary
—
MD
171M00000X
Case Manager/Care Coordinator
—
MD
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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