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Individual

CHARLES WILLIAM STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, LAC, MFTC

Contact information

Practice address
10 BOULDER CRESCENT ST STE 101B, COLORADO SPRINGS, CO 80903-3344
(719) 387-1486
Mailing address
10 BOULDER CRESCENT ST STE 101B, COLORADO SPRINGS, CO 80903-3344
(719) 387-1486

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001849
101YM0800X
Mental Health Counselor
MFTC.0013817
CO
101YP2500X
Professional Counselor
Primary
LPC.0018241
CO

Other

Enumeration date
07/26/2018
Last updated
05/18/2022
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