Individual
KOURTNEY G STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 N MAYSVILLE ST STE 200, MOUNT STERLING, KY 40353-1179
(859) 404-7686
(859) 498-8160
Mailing address
236 W MAIN ST, MOUNT STERLING, KY 40353-1348
(859) 404-7686
(859) 274-4459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255192
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100694150
—
KY
Enumeration date
03/01/2017
Last updated
12/15/2020
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