Stephanie Coulter, PSS

NPI #1043860919 in Boise, Idaho

Provider Information

NPI Number: 1043860919
Entity Type: Individual
Name: Stephanie Coulter, PSS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PSS
Enumeration Date: Sep 12, 2019
Last Updated: Sep 12, 2019

Practice Location

Address: 2200 W FAIRVIEW AVE
City: Boise
State: Idaho
ZIP Code: 83702-6808
Phone: (208) 344-3512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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