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NPI Code Detail

MEDICARE: CAITLIN TAYLOR STEPHENSON

MEDICARE: CAITLIN TAYLOR STEPHENSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) CounselorOH

General Provider Information

NPI Number : 1659878288
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN TAYLOR STEPHENSON
Provider Business Mailing Address
First Line : 275 MARTINEL DR
Second Line :
City : KENT
State : OH
Zip : 44240-4380
Country : US
Telephone Number : 330-673-6446
Fax Number :
Provider Business Practice Location Address
First Line : 1601 S MAIN ST
Second Line :
City : AKRON
State : OH
Zip : 44301-1664
Country : US
Telephone Number : 330-644-4095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2018
Last Update Date : 10/31/2024

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Directions to “ CAITLIN TAYLOR STEPHENSON ” Practice Location

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