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General NPI Number Information
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NPI Number | 1043193378
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Entity Type | Individual
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Provider Name | CONNIE SUE STEVENS
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Gender | Female
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 818 MAIN ST
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City | RED BLUFF
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State | CA
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Zip | 96080-2759
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Country | US
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Telephone | 530-527-0350
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Fax | 530-528-3881
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Provider Business Mailing Address
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Address Line | 14 ROOT ST
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City | RED BLUFF
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State | CA
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Zip | 96080-3753
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Country | US
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Telephone | 530-727-4215
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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