Individual
FREDA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9521 SHELLIE ROAD UNIT 13, JACKSONVILLE, FL 32257
(904) 930-4244
(904) 930-4244
Mailing address
9838 OLD BAYMEADOWS ROAD #267, JACKSONVILLE, FL 32256
(904) 930-4244
(904) 930-4244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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