Individual
DR. CARMEN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSW, LPCC, CRC
Contact information
Practice address
224 S. DALLAS AVENUE, SAN BERNARDINO, CA 92410
(909) 374-5894
Mailing address
1171 E ALOSTA AVE # 344, AZUSA, CA 91702-2740
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12756
CA
Other
Enumeration date
08/30/2023
Last updated
09/05/2023
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