Individual
KELLY JO STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Mailing address
1391 KNAPP AVE, MOREHEAD, KY 40351-1141
(606) 748-6436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258010
KY
1041C0700X
Clinical Social Worker
Primary
LCSW00001581
KY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
06/03/2026
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