Individual
MRS. GRETCHEN JANE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
136 MAINE STREET, SUITE #6, BRUNSWICK, ME 04011
(207) 240-2912
Mailing address
136 MAINE STREET, SUITE #6, BRUNSWICK, ME 04011
(207) 240-2912
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4776
ME
101YP2500X
Professional Counselor
XL4087
ME
Other
Enumeration date
05/13/2014
Last updated
10/12/2017
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