Individual provider · Type 1 NPI

Mark D. Stephens, CSAC

Addiction (Substance Use Disorder) Counselor · Marinette, WI

NPI number 1134319452 Active

Practice location

1409 Cleveland Ave
Marinette, WI 54143-3918

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Other practice locations

  • 421 Nebraska St, Sturgeon Bay, WI 54235-2225 · (920) 746-2345

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15369-131 (WI)

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

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About NPI 1134319452

Mark D. Stephens, CSAC's National Provider Identifier is 1134319452, issued on Aug 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marinette, WI. The record was last updated on Feb 16, 2021.