Individual
CALEB STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, LAC
Contact information
Practice address
1715 E CEDAR ST STE 115, OLATHE, KS 66062-1791
(816) 977-3178
(816) 572-6838
Mailing address
1715 E CEDAR ST STE 115, OLATHE, KS 66062-1791
(816) 977-3178
(816) 572-6838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1200
KS
101YM0800X
Mental Health Counselor
9328
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12740301
CAQH
KS
Enumeration date
10/21/2014
Last updated
01/07/2016
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