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Individual

REBECCA ANN STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
400 CUNNINGHAM WAY, DANVILLE, KY 40422-8339
(859) 936-3492
Mailing address
540 COPPERFIELD DR, LAWRENCEBURG, KY 40342-1929
(870) 638-4925

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
128432
KY
101YM0800X
Mental Health Counselor
KY-1766
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
02/26/2014
Last updated
06/06/2016
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