Individual provider · Type 1 NPI
Carmen Stephens, DSW, LPCC, CRC
Professional Counselor · San Bernardino, CA
NPI number
1417732272
Active
Practice location
224 S. Dallas Avenue
San Bernardino, CA 92410
Mailing address
1171 E Alosta Ave # 344
Azusa, CA 91702-2740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 12756 (CA) |
Professional Counselor: Definition to come...
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About NPI 1417732272
Carmen Stephens, DSW, LPCC, CRC's National Provider Identifier is 1417732272, issued on Aug 30, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Bernardino, CA. The record was last updated on Sep 5, 2023.