Still Waters Counseling LLC

NPI #1306203468 in Blackfoot, Idaho

Provider Information

NPI Number: 1306203468
Entity Type: Organization
Organization Name: Still Waters Counseling LLC
Primary Specialty: Social Worker
Enumeration Date: Jan 20, 2016
Last Updated: Jan 20, 2016

Practice Location

Address: 1309 CAMAS ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-3060
Phone: (208) 782-0678

Authorized Official

Name: MS. STACI STEVENSON
Title: OFFICE MANAGER
Phone: (208) 782-0678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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