Stephenson, Kenneth H

Stephenson, Kenneth H is an sole proprietor health care provider with primary practice located at 328 Pierce Rd , Red Oak TX 75154-6418. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stephenson, Kenneth H can be contacted via phone (972) 741-8093.

Contact Information

Primary practice address
328 Pierce Rd Red Oak TX 75154-6418
Phone: (972) 741-8093
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9237 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 30009 Texas

Profile Details

NPI number 1477689750
LBN Legal business name Stephenson, Kenneth H
Credentials LCSW, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Aug 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477689750 NPPES
Other 11559639 CAQH

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