Individual provider · Type 1 NPI

Keith Stephens

Addiction (Substance Use Disorder) Counselor · San Bernardino, CA

NPI number 1043068679 Active

Practice location

1100 N D St
San Bernardino, CA 92410-3524

Call (909) 884-0840 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1536801123 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043068679

Keith Stephens's National Provider Identifier is 1043068679, issued on May 8, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on Apr 28, 2026.