Individual
ANDREW JORDAN STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CAGS, LMHC, LCDP
Contact information
Practice address
600 PUTNAM PIKE STE 7, GREENVILLE, RI 02828-1487
(401) 949-2220
Mailing address
600 PUTNAM PIKE STE 7, GREENVILLE, RI 02828-1487
(401) 949-2220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00598
RI
101YM0800X
Mental Health Counselor
Primary
MHC00742
RI
Other
Enumeration date
02/02/2014
Last updated
11/12/2015
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