Provider Demographics
NPI:1922496983
Name:STEVENS, HELGA DENISE (CADC II/ICADC)
Entity Type:Individual
Prefix:MS
First Name:HELGA
Middle Name:DENISE
Last Name:STEVENS
Suffix:
Gender:F
Credentials:CADC II/ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 SW 49TH ST APT 126
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-2680
Mailing Address - Country:US
Mailing Address - Phone:831-917-2758
Mailing Address - Fax:
Practice Address - Street 1:1661 SW 49TH ST APT 126
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-2680
Practice Address - Country:US
Practice Address - Phone:831-917-2758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-29
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR21-R-02101YA0400X
CAAII31520919101YA0400X
CAA05001020101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)