Individual
MR. ANTHONY J STEVENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
107 FISHER POND RD, ST ALBANS, VT 05478-6286
(802) 524-6555
(802) 524-6562
Mailing address
10 OUTLOOK LN, JERICHO, VT 05465-2007
(802) 899-5865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000653
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010888
—
VT
01
—
2153014
CIGNA
VT
01
—
358509
MHN
VT
01
—
68252
BCBS
VT
Enumeration date
02/22/2006
Last updated
07/08/2007
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