Individual
DENISE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9272
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9272
(270) 735-9848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
253565
KY
104100000X
Social Worker
6955
KY
1041C0700X
Clinical Social Worker
Primary
253565
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100585290
—
KY
Enumeration date
12/06/2014
Last updated
09/20/2024
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