ZACHARY STEPHENSON
NPI 1912719824
Counselor - Mental Health in Marion, IL
Active since January 27, 2025
About Zachary Stephenson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY STEPHENSON (NPI 1912719824) is an individual mental health provider in Marion, Illinois and active in the NPI registry since January 2025.
NPPES Registry Identity
NPI1912719824
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameZACHARY STEPHENSON
Location Address4505 W DEYOUNG ST # 203CMarion, IL 62959-5899
Mailing Address4505 W Deyoung St # 203cMarion, IL 62959-5899 · (618) 283-2222
Phone(618) 283-2222
Sole ProprietorYes
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1912719824 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4505 W DEYOUNG ST # 203C, Marion, IL 62959
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912719824, enumerated as an "individual" on January 27, 2025.
The provider is located at 4505 W DEYOUNG ST # 203C MARION, IL 62959 and the phone number is (618) 283-2222.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
