Larry Daniel Stephens, PHD, PCC

NPI #1457705600 in Vandalia, Ohio

Provider Information

NPI Number
1457705600
Entity Type
Individual
Name
Larry Daniel Stephens, PHD, PCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
PHD, PCC
Enumeration Date
Apr 13, 2016
Last Updated
Apr 13, 2016

Practice Location

Address
407 CORPORATE CENTER DR
Address 2
SUITE # D.
State
Ohio
ZIP Code
45377-1165
Phone
(937) 750-9590

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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