Individual
CONSTANCE M STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
748 14TH AVENUE, LONGVIEW, WA 98632
(360) 200-5419
(360) 200-6736
Mailing address
1920 100TH ST SE STE A2, EVERETT, WA 98208-3832
(425) 312-0277
(425) 312-0280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC60808489
WA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159213
—
WA
Enumeration date
01/06/2017
Last updated
03/21/2025
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