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Kelly Stephenson, CMA,RADT
Addiction (Substance Use Disorder) Counselor in Santa Ana, California
NPI 1972266393

Kelly Stephenson is an Addiction (Substance Use Disorder) Counselor based in La Habra, CA and is specialized in Addiction (Substance Use Disorder). Kelly Stephenson practices in Santa Ana, CA and has the professional credentials of CMA,RADT. The NPI Number for Kelly Stephenson is 1972266393 and holds a License No. R1447811021 (California).

The current practice location address for Kelly Stephenson is 1207 E Fruit St, Santa Ana, CA and can be reached out via phone at 714-953-9373.

Location: 1207 E Fruit St, Santa Ana, CA, 90631-6093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972266393
Provider Name
Kelly Stephenson
Credential
CMA,RADT
Provider Entity Type
Individual
Gender
Female
Address
1207 E Fruit St, Santa Ana, CA, 90631-6093
Phone Number
714-953-9373
Fax Number
Provider Enumeration Date
10/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1207 E Fruit St
City
Santa Ana
State
California
Zip
92701-4296
Phone Number
714-953-9373
Fax Number
person
Provider Business Mailing Address Details
Address
1207 E Fruit St
City
Santa Ana
State
California
Zip
92701-4296
Phone Number
714-953-9373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1447811021 (California)
Definition
Definition to come...
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