Christie Stephenson

NPI #1003121021 in Nampa, Idaho

Provider Information

NPI Number: 1003121021
Entity Type: Individual
Name: Christie Stephenson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community/Behavioral Health
Enumeration Date: Aug 13, 2010
Last Updated: Aug 13, 2010

Practice Location

Address: 847 PARKCENTRE WAY
Address 2: SUITE 5
City: Nampa
State: Idaho
ZIP Code: 83651-1792
Phone: (208) 703-9771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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