Doctor Name: | MR. THOMAS CHRISTOPHER STEPHENS |
NPI Number: | 1104995018 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | R0415881 |
Business Practice Address: | 237 Delaware Avenue Delaware Executive Office Suites, Suite 11 Olean, NY - 14760 |
Business Phone Number: | 7163787210 |
Business Fax Number: | |
Mailing Address: | 237 Delaware Avenue, Delaware Executive Office Suites, Suite 11 OLEAN |
State: | NY |
Postal Code: | 14760 |
Phone Number: | 7163787210 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 02/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R0415881 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |