MR. John D Stephenson, LCSW

NPI #1528126158 in Blackfoot, Idaho

Provider Information

NPI Number
1528126158
Entity Type
Individual
Name
MR. John D Stephenson, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCSW
Enumeration Date
Dec 5, 2006
Last Updated
Aug 4, 2014

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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