Individual
MRS. JUDITH RENEE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-T
Contact information
Practice address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
(715) 845-6477
Mailing address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
(715) 845-6477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5258-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5258-226
STATE LICENSE #
WI
Enumeration date
03/14/2022
Last updated
03/14/2022
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