Individual
STEPHEN PHILLIP DEMIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2440 NEW YORK AVE APT B, GREAT LAKES, IL 60088-2217
(254) 247-8497
Mailing address
2440 NEW YORK AVE APT B, GREAT LAKES, IL 60088-2217
(254) 247-8497
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000620
IL
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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