| NPI | 1255578092 |
|---|---|
| Other Name | MARTY H STEPHENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 001411) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 00141) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2018-11-06 |