Evonne Lanae Stephenson, M.S., LCPC

NPI #1982914644 in Salem, Illinois

Provider Information

NPI Number: 1982914644
Entity Type: Individual
Name: Evonne Lanae Stephenson, M.S., LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: M.S., LCPC
Enumeration Date: Oct 15, 2010
Last Updated: Aug 21, 2014

Practice Location

Address: 600 E MAIN ST
City: Salem
State: Illinois
ZIP Code: 62881-2933
Phone: (618) 740-0726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - School — School	101YS0200X
Counselor - Professional — Professional	101YP2500X	Primary

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