Individual provider · Type 1 NPI
Mary Virginia Stewart, CDCA
Addiction (Substance Use Disorder) Counselor · Mooresburg, TN
NPI number
1902663685
Active
Practice location
110 Carpenter Farm Dr Lot 15
Mooresburg, TN 37811-2363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 186895 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1902663685
Mary Virginia Stewart, CDCA's National Provider Identifier is 1902663685, issued on Feb 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mooresburg, TN. The record was last updated on Feb 29, 2024.