Individual
STEPHANIE ANN FESSENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMHC, LCADC
Contact information
Practice address
9028 WATERFIELD CT, LAS VEGAS, NV 89134-6193
(914) 263-3757
Mailing address
9028 WATERFIELD CT, LAS VEGAS, NV 89134-6193
(914) 263-3757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
00504-C
NV
1041C0700X
Clinical Social Worker
Primary
73-079960
NY
1041C0700X
Clinical Social Worker
7737-C
NV
Other
Enumeration date
09/01/2009
Last updated
12/20/2018
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