Stephenson, Fred Douglas

Stephenson, Fred Douglas is an sole proprietor health care provider with primary practice located at 6212 W Corporate Oaks Dr , Crystal River FL 34429-2694. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stephenson, Fred Douglas can be contacted via phone (352) 795-7070.

Contact Information

Primary practice address
6212 W Corporate Oaks Dr Crystal River FL 34429-2694
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW96 Florida

Profile Details

NPI number 1255413001
LBN Legal business name Stephenson, Fred Douglas
Credentials M.S.W.,LCSW, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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