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NPI Code Detail

MEDICARE: MS. W JOY STEVENS MFT

MEDICARE:  MS. W JOY STEVENS  MFT
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
1106H00000XMarriage & Family TherapistMFC31772CA

General Provider Information

NPI Number : 1861666042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. W JOY STEVENS MFT
Provider Business Mailing Address
First Line : PO BOX 237
Second Line :
City : HINES
State : OR
Zip : 97738-0237
Country : US
Telephone Number : 530-263-1901
Fax Number :
Provider Business Practice Location Address
First Line : 229 N EGAN AVE
Second Line :
City : BURNS
State : OR
Zip : 97720-1741
Country : US
Telephone Number : 541-573-2857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2008
Last Update Date : 06/15/2015

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Directions to “ MS. W JOY STEVENS MFT” Practice Location

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