Individual
AVA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
2925 RUSSELL STREET, TEAM MENTAL HEALTH SERVICES, DETROIT, MI 48207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6803086555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
CARE COORDINATOR
MI
Enumeration date
08/20/2013
Last updated
08/20/2013
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