person
Mary S Stevens, LCSW
Mental Health Counselor in Suffolk, Virginia
NPI 1063407906

Mary S Stevens is a Mental Health Counselor based in Suffolk, VA and is specialized in Mental Health. Mary S Stevens practices in Suffolk, VA and has the professional credentials of LCSW. The NPI Number for Mary S Stevens is 1063407906 and holds a License No. 0904002094 (Virginia).

The current practice location address for Mary S Stevens is 1000 Commercial Ln, Suffolk, VA and can be reached out via phone at 757-942-1069 and via fax at 757-925-2213. You can also correspond with Mary S Stevens through the mailing address at 1000 COMMERCIAL LN, SUFFOLK, VA - 23434-8148 (mailing address contact number: 757-942-1069).

Location: 1000 Commercial Ln, Suffolk, VA, 23434-8148
person
Provider Profile Details
NPI Number
1063407906
Provider Name
Mary S Stevens
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1000 Commercial Ln, Suffolk, VA, 23434-8148
Phone Number
757-942-1069
Fax Number
757-925-2213
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8904766 05 VA
O83006 01 VA OPITMA FAMILY CARE
270371 01 VA TRIGONBC/BS HEALTHKEEPERS
institution
Provider Business Practice Location Address Details
Address
1000 Commercial Ln
City
State
Zip
23434-8148
Phone Number
757-942-1069
Fax Number
757-925-2213
person
Provider Business Mailing Address Details
Address
1000 Commercial Ln
City
State
Zip
23434-8148
Phone Number
757-942-1069
Fax Number
757-925-2213
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0904002094 (Virginia)
Definition
Definition to come...
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