Individual
THOMAS HENRY STEVENS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LPC-A
Contact information
Practice address
110 NATIONAL DR, GLASTONBURY, CT 06033-4371
(860) 657-8910
Mailing address
537 PROSPECT ST, WETHERSFIELD, CT 06109-3648
(860) 519-7802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
01/30/2024
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