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NPI Code Detail

MEDICARE: KATHRYN I. S. STEVENS

MEDICARE:   KATHRYN I. S. STEVENS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1235794298
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN I. S. STEVENS
Provider Business Mailing Address
First Line : 382 ARCH ST
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1518
Country : US
Telephone Number : 740-466-7910
Fax Number :
Provider Business Practice Location Address
First Line : 382 ARCH ST
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1518
Country : US
Telephone Number : 740-466-7910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2019
Last Update Date : 06/02/2023

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Directions to “ KATHRYN I. S. STEVENS ” Practice Location

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