Kenneth Stevens
NPI #1053854687 in San Jacinto, California
Provider Information
- NPI Number
- 1053854687
- Entity Type
- Individual
- Name
- Kenneth Stevens
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 30, 2016
- Last Updated
- Nov 30, 2016
Practice Location
- Address
- 102 W MAIN ST
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-4121
- Phone
- (951) 327-5412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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