KELLY STEPHENSON

SANTA ANA, CA
NPI1972266393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1447811021)
Enumeration Date2021-10-21
Last Update Date2022-02-01
Business Address
KELLY STEPHENSON CMA, RADT
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
Mailing Address
KELLY STEPHENSON CMA, RADT
141 W OLIVE AVE APT 1
LA HABRA, CA 90631-6093
Phone number: 714-718-7814