Individual
DR. PETER STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LPCC
Contact information
Practice address
25873 HEMET ST, HEMET, CA 92544-5026
(951) 765-6955
Mailing address
35334 MOUNTAIN VIEW ST, YUCAIPA, CA 92399-4809
(951) 640-9184
(909) 421-9392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
11029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPCC11029
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
06/06/2018
Last updated
10/27/2023
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