MR. FRED ANTHONY STEVENS PCC LICDC NPI 1538374020

NPI Information

NPI: 1538374020
Provider Name: MR. FRED ANTHONY STEVENS, PCC, LICDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1440 ROCKSIDE ROAD
SUITE 113
PARMA, OH
ZIP 44134
Phone: (216) 741-0589
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MR. Fred Anthony Stevens, PCC, LICDC is an addiction (substance use disorder) counselor in Parma, OH. MR. Fred Anthony Stevens, PCC, LICDC NPI is 1538374020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1440 ROCKSIDE ROAD
SUITE 113
PARMA, OH
ZIP 44134-713
Phone: (216) 741-0589
Fax: (216) 741-0695

The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	E-0003534	OHIO	Yes
2	101YM0800X	Counselor	Mental Health	E-0003534	OHIO	X
3	101YP2500X	Counselor	Professional	E-0003534	OHIO	X
4	106H00000X	Marriage & Family Therapist		E-0003534	OHIO	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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