| Doctor Name: | NOAH MATTHEW STEVENS |
| NPI Number: | 1013209154 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC |
| License Number: | LC5110 |
| Business Practice Address: | 5301 Buckeystown Pike Frederick, MD - 217048370 |
| Business Phone Number: | 3017330330 |
| Business Fax Number: | 3017334038 |
| Mailing Address: | 13121 Brook Lane, HAGERSTOWN |
| State: | MD |
| Postal Code: | 217421945 |
| Phone Number: | 3017330330 |
| Fax Number: | 3017334038 |
| NPI Enumeration Date: | 05/09/2011 |
| NPI Last Update Date: | 05/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC5110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |