Stillwaters Counseling LLC

NPI #1407499973 in Blackfoot, Idaho

Provider Information

NPI Number: 1407499973
Entity Type: Organization
Organization Name: Stillwaters Counseling LLC
Primary Specialty: Peer Specialist
Enumeration Date: Oct 28, 2019
Last Updated: Oct 28, 2019

Practice Location

Address: 1309 CAMAS ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-3060
Phone: (208) 782-0675

Authorized Official

Name: STACIE LEE STEPHENSON
Title: OFFICE MANAGER
Phone: (208) 782-0675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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