| Doctor Name: | MRS. DEBRA GRACE STEWART |
| NPI Number: | 1063509834 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RAS |
| License Number: | S0402241230 |
| Business Practice Address: | 452 Old Mammoth Road 3rd Floor Mammoth Lakes, CA - 935462619 |
| Business Phone Number: | 7609241740 |
| Business Fax Number: | |
| Mailing Address: | 2276 Dixon Ln, BISHOP |
| State: | CA |
| Postal Code: | 935148094 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | S0402241230 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |