Individual
MS. ANGE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., MFT
Contact information
Practice address
840 3RD ST, SANTA ROSA, CA 95404-4502
(707) 328-5139
(707) 829-8866
Mailing address
7143 ELPHICK RD, SEBASTOPOL, CA 95472-4703
(707) 328-5139
(707) 829-8866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC25866
CA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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