Individual
DONNA L. STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 GROVE ST STE J, BISHOP, CA 93514-2652
(760) 873-6533
(760) 873-3277
Mailing address
162 GROVE ST STE J, BISHOP, CA 93514-2652
(760) 873-6533
(760) 873-3277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Enumeration date
01/26/2011
Last updated
02/03/2016
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