Individual
REGINALD STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC-A
Contact information
Practice address
2315 E WT HARRIS BLVD STE 102, CHARLOTTE, NC 28213-5133
(704) 208-4458
(866) 309-6385
Mailing address
5711 FENWAY DR, CHARLOTTE, NC 28273-4369
(704) 763-5990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A21616
NC
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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