Individual
ELLEN STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 13TH ST STE F, SAINT CLOUD, FL 34769-4103
(407) 900-4885
Mailing address
2521 13TH ST STE F, SAINT CLOUD, FL 34769-4103
(407) 590-2760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
04/02/2020
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