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1972266393
KELLY STEPHENSON
SANTA ANA, CA
NPI
1972266393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1447811021)
Enumeration Date
2021-10-21
Last Update Date
2022-02-01
Business Address
KELLY STEPHENSON CMA, RADT
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
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Mailing Address
KELLY STEPHENSON CMA, RADT
141 W OLIVE AVE APT 1
LA HABRA, CA 90631-6093
Phone number: 714-718-7814
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