Individual
RONDA LYNN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MS, BS, MHP
Contact information
Practice address
77 HAZZARD CREEK VLG # VILLAGEC, RIDGELAND, SC 29936-8266
(843) 645-7700
Mailing address
57 RIVER TREE CIR, BLUFFTON, SC 29910-8211
(760) 608-0790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15688907
CAQH
SC
Enumeration date
11/17/2022
Last updated
11/17/2022
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