Mark Stevens

NPI #1992253165 in Lewiston, Idaho

Provider Information

NPI Number: 1992253165
Entity Type: Individual
Name: Mark Stevens
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 16, 2016
Last Updated: Sep 16, 2016

Practice Location

Address: 312 MILLER ST
City: Lewiston
State: Idaho
ZIP Code: 83501-1944
Phone: (208) 750-1802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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