Individual
ALLAN STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RIC
Contact information
Practice address
11415 ISAAC NEWTON SQ S, RESTON, VA 20190-5005
(703) 260-9359
Mailing address
11415 ISAAC NEWTON SQ S, RESTON, VA 20190-5005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0704017352
VA
101YP2500X
Professional Counselor
Primary
0701015295
VA
Other
Enumeration date
02/24/2025
Last updated
09/29/2025
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