Individual
MR. CHARLES LUCAS STEPHENS
Active
Individual
MR. CHARLES LUCAS STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMLP, LCP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0136
KS
103T00000X
Psychologist
0141
KS
103TP2701X
Group Psychotherapy Psychologist
Primary
0136
KS
103TP2701X
Group Psychotherapy Psychologist
0141
KS
Other
Enumeration date
03/20/2007
Last updated
09/11/2025
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