Individual
KATELYN MARIE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 C COURT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-6489
Mailing address
2801 C COURT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-6489
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2303737
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0388473
—
OH
Enumeration date
10/11/2017
Last updated
09/13/2024
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