Provider Demographics
NPI:1184084675
Name:STEPHENSON, CHRISTINE (LIMHP, LADC, LPC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:LIMHP, LADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7441 O ST STE 104
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2468
Mailing Address - Country:US
Mailing Address - Phone:402-304-1248
Mailing Address - Fax:531-500-1488
Practice Address - Street 1:7441 O ST STE 104
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2468
Practice Address - Country:US
Practice Address - Phone:402-304-1248
Practice Address - Fax:531-500-1488
Is Sole Proprietor?:No
Enumeration Date:2016-02-26
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1330101YA0400X
NE4696101YM0800X
NE2532101YM0800X
NE2269101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional