Individual
TAMIKA T STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 ARNOLD MILL RD, SIMPSONVILLE, SC 29680-7293
(267) 671-2311
Mailing address
133 ARNOLD MILL RD, SIMPSONVILLE, SC 29680-7293
(267) 671-2311
(864) 412-7989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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