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Individual

MR. STEPHEN THOMSON HIRST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHRS

Contact information

Practice address
1500 D ST, ANTIOCH, CA 94509-2346
(925) 777-9550
Mailing address
1026 2ND ST APT 42, LAFAYETTE, CA 94549-3971
(925) 299-1884

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101Y00000X
COUNSELOR
CA
01
101YM0800X
MENTAL HEALTH
CA
01
101YS0200X
SCHOOL
CA
Enumeration date
12/20/2006
Last updated
07/08/2007
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