| Doctor Name: | PATRICIA JEAN STEPHAN |
| NPI Number: | 1477784932 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6801064762 |
| Business Practice Address: | 1195 E Wilcox Ave White Cloud, MI - 493498673 |
| Business Phone Number: | 2316896701 |
| Business Fax Number: | 2316896702 |
| Mailing Address: | 1095 3rd St, MUSKEGON |
| State: | MI |
| Postal Code: | 494411976 |
| Phone Number: | 2317264735 |
| Fax Number: | 2317220789 |
| NPI Enumeration Date: | 08/01/2009 |
| NPI Last Update Date: | 08/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6801064762 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |