DUSTIN A STEPHENSON

SACRAMENTO, CA
NPI1881240539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-16
Last Update Date2020-03-27
Business Address
DUSTIN A STEPHENSON CCAPP Registration
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8434
Mailing Address
DUSTIN A STEPHENSON CCAPP Registration
3 SOMER RIDGE DR APT 137
ROSEVILLE, CA 95661-5255
Phone number: 916-710-9863
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