Individual
COURTNEY STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 W 34TH ST, NEW YORK, NY 10001-3006
(914) 418-4773
Mailing address
19 W 34TH ST, NEW YORK, NY 10001-3006
(914) 418-4773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005219
NY
Other
Enumeration date
06/06/2013
Last updated
06/01/2015
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