Individual
DR. JOHN LESLIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
150 FOUNTAINS BLVD, MADISON, MS 39110-6377
(601) 898-4497
Mailing address
213 CONCORD DR, CLINTON, MS 39056-5727
(601) 940-3870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/17/2007
Last updated
06/26/2015
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