Individual provider · Type 1 NPI
Tara Marie Stevens, M.ED., LADC UNDER SU
Addiction (Substance Use Disorder) Counselor · Wilburton, OK
NPI number
1679805477
Active
Practice location
309 W Main St
Wilburton, OK 74578-4047
Fax (918) 465-3053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Wilburton
About NPI 1679805477
Tara Marie Stevens, M.ED., LADC UNDER SU's National Provider Identifier is 1679805477, issued on Feb 3, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilburton, OK. The record was last updated on Sep 23, 2011.