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Individual

ASHLEY STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
(970) 494-4200
Mailing address
1205 HILLCREST DR, FORT COLLINS, CO 80521-4264
(480) 650-6648

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106S00000X
Behavior Technician
RBT-15-02459
AZ

Other

Enumeration date
07/24/2017
Last updated
09/09/2020
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