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NPI Code Detail

MEDICARE: PEGGY STEVENSON

MEDICARE: PEGGY STEVENSON
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 : 1255050563
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGGY STEVENSON
Provider Business Mailing Address
First Line : 172 N EAST PROMONTORY STE 270
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2964
Country : US
Telephone Number : 801-382-8238
Fax Number :
Provider Business Practice Location Address
First Line : 172 N EAST PROMONTORY STE 270
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2964
Country : US
Telephone Number : 801-382-8238
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2022
Last Update Date : 06/30/2025

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Directions to “ PEGGY STEVENSON ” Practice Location

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