Individual
MS. CAROLYN M STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.S.W.
Contact information
Practice address
37702 EDGEWATER DR, PINEHURST, TX 77362-1918
(281) 333-3393
(281) 333-0402
Mailing address
PO BOX 955, PINEHURST, TX 77362-0955
(281) 333-3933
(281) 333-0402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5909
TX
1041C0700X
Clinical Social Worker
12471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095503101
—
TX
Enumeration date
12/28/2006
Last updated
07/06/2023
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