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Individual

SHA'VONYA M STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
620 S LAUREL ST, PINE BLUFF, AR 71601-4859
(870) 534-4900
Mailing address
620 S LAUREL ST, PINE BLUFF, AR 71601-4859

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1361
TN
171M00000X
Case Manager/Care Coordinator
ZZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180635526
AR
05
Q097745
TN
Enumeration date
02/27/2015
Last updated
01/06/2026
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