Individual
DEBRA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, BCBA
Contact information
Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 393-4483
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 393-4483
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401009910
MI
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/23/2011
Last updated
12/20/2016
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