NPI | 1326230640 |
---|---|
Professional Name | LEYANA OVERSTREET STEVENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006954) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102115) |
101Y00000X Counselor (Licence: VA 0812000532) | |
Enumeration Date | 2007-08-10 |
Last Update Date | 2018-05-18 |