Kelly Lane Stevens, LMFT
Marriage & Family Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1861900458
StatusActive
Last updated in NPPESMar 29, 2024
Details
- NPI
- 1861900458
- Entity type
- Individual (NPI-1)
- Name
- Kelly Lane Stevens
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2018
- Certification date
- Mar 29, 2024
- Last updated
- Mar 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Practice location
13453 N Main St Ste 104Jacksonville, FL 32218-2773
Phone 904-773-4390 · Fax 941-621-7089
Mailing address
13453 N Main StSuite 104
Jacksonville, FL 32218
Phone 904-773-4390 · Fax 941-621-7089
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