Individual
STEPHANY MARIE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 BROADWAY STE 1008, NEW YORK, NY 10001-4308
(347) 235-2067
Mailing address
1204 BROADWAY STE 1008, NEW YORK, NY 10001-4308
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
NY
Enumeration date
12/17/2018
Last updated
04/13/2026
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