Individual
MRS. RETTA PARKER STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, ATR-BC
Contact information
Practice address
2120 ALPINE BLVD, ALPINE, CA 91901-2113
(619) 722-7319
Mailing address
PO BOX 635123, SAN DIEGO, CA 92163-5123
(619) 471-8307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
10547
CA
Other
Enumeration date
06/03/2014
Last updated
10/20/2021
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