Individual
CHARLES RICHARD STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1400 A ST BLDG A, SACRAMENTO, CA 95814-0631
(916) 440-1500
(916) 440-1514
Mailing address
930 G ST, SACRAMENTO, CA 95814-1802
(916) 826-5905
(916) 440-1514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS 20787
CA
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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