Individual
SUSAN KELLEY STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC, LCAS-A
Contact information
Practice address
2199 CODDLE CREEK HWY, MOORESVILLE, NC 28115-8250
(336) 624-0935
Mailing address
PO BOX 351, LEWISVILLE, NC 27023-0351
(336) 624-0935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27742
NC
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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