James Derek Stephenson
James Derek Stephenson is a Peer Specialist in Louisa, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
125 S Main Cross StLouisa, KY 41230-1065
Phone: (606) 638-0938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1205593472 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 23, 2021 |
| Last updated in NPPES | November 29, 2021 |
| Certification date | November 29, 2021 |
| Mailing address | 125 S Main Cross St, Louisa, KY 41230-1065 |
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