Organization
STEPHENS THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA STEPHENS LPCC (DIRECTOR)
(619) 542-7720
Entity
Organization
Contact information
Practice address
4025 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-4108
(619) 542-7720
(888) 337-3402
Mailing address
4025 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-4108
(619) 542-7720
(888) 337-3402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740419316
—
WI
Enumeration date
01/10/2019
Last updated
01/10/2019
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