Individual
STACI LANELL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
7224 S RECOVERY RD, FRENCH CAMP, CA 95231-8901
(916) 413-5007
Mailing address
7224 S RECOVERY RD, FRENCH CAMP, CA 95231-8901
(916) 413-5007
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
27672
CA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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