Michael L Stevens, LCSW

NPI #1013013010 in Pocatello, Idaho

Provider Information

NPI Number
1013013010
Entity Type
Individual
Name
Michael L Stevens, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCSW
Enumeration Date
Sep 16, 2006
Last Updated
Dec 10, 2021

Practice Location

Address
109 N ARTHUR AVE STE 203
State
Idaho
ZIP Code
83204-3105
Phone
(208) 234-4673

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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