Most Relevant Information
Provider Data
| NPI Number: | 1003212531 |
| Provider Name: | STACY STEVENS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 1062076 |
Most Important Dates
| Enumeration Date: | 11/11/2014 |
| Last Updated: | 11/11/2014 |
Provider Practice Location
2320 LONG ST
FLATWOODS
KY
411392146
Practice Location Phone/Fax
| Phone: | 6068335611 |
| Fax: |
Provider Mailing Location
PO BOX 790
ASHLAND
KY
411050790
Provider Mailing Phone/Fax
| Phone: | 6063298588 |
| Fax: | 6063298195 |