Tara Marie Stevens, M.ED., LADC UNDER SU

NPI #1679805477 in Wilburton, Oklahoma

Provider Information

NPI Number: 1679805477
Entity Type: Individual
Name: Tara Marie Stevens, M.ED., LADC UNDER SU
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: M.ED., LADC UNDER SU
Enumeration Date: Feb 3, 2010
Last Updated: Sep 23, 2011

Practice Location

Address: 309 W MAIN ST
City: Wilburton
State: Oklahoma
ZIP Code: 74578-4047
Phone: (918) 465-3381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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