Individual
MISS GEORGIA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA, QMHS AND OCPSA
Contact information
Practice address
1735 S HAWKINS AVE, AKRON, OH 44320-3902
(330) 867-5400
(330) 869-8263
Mailing address
PO BOX 8189, AKRON, OH 44320-0189
(330) 867-5400
(330) 869-8263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.170659
OH
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
—
OH
405300000X
Prevention Professional
OCPSA.4293
OH
Other
Enumeration date
11/27/2017
Last updated
06/28/2023
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