Stevens, Mark Wayne

Stevens, Mark Wayne is an sole proprietor health care provider with primary practice located at 12166 Old Big Bend Rd Suite 100, Kirkwood MO 63122-6844. 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 / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Stevens, Mark Wayne can be contacted via phone (314) 452-6402.

Contact Information

Primary practice address
12166 Old Big Bend Rd Suite 100 Kirkwood MO 63122-6844
Phone: (314) 452-6402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0794 Missouri
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2006012732 Missouri

Profile Details

NPI number 1164681730
LBN Legal business name Stevens, Mark Wayne
Credentials LPC, CSAC II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2008
Last updated Jun 8th, 2008 - about 17 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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