Lettie Stradley-Bass, LCPC-8478
NPI #1043869142 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1043869142
- Entity Type
- Individual
- Name
- Lettie Stradley-Bass, LCPC-8478
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC-8478
- Enumeration Date
- Sep 10, 2019
- Last Updated
- Jun 5, 2023
Practice Location
- Address
- 9915 N 26TH E
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-6435
- Phone
- (208) 521-8389
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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