Individual
ANTHONY WAYNE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
9103 CALIFORNIA AVE APT 17, CHARLESTON, WV 25315-2045
(513) 295-0735
Mailing address
9103 CALIFORNIA AVE APT 17, CHARLESTON, WV 25315-2045
(513) 295-0735
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-979SUD
WV
Other
Enumeration date
06/25/2025
Last updated
07/31/2025
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