Individual
STEPHANIE SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1463 S BELL SCHOOL RD, ROCKFORD, IL 61108-1406
(815) 742-3808
Mailing address
4641 STEWARD RD, ROCKFORD, IL 61101-2004
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000966
IL
Other
Enumeration date
08/29/2012
Last updated
05/10/2016
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