Individual
STEPHANIE ANN STERNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LAMFT, NCC
Contact information
Practice address
1016 E LOCUST ST, EMMETT, ID 83617-2776
(208) 918-0054
(844) 696-1471
Mailing address
8611 DEWEY RD, EMMETT, ID 83617-8855
(208) 369-3724
(844) 696-1471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-7165
ID
101YP2500X
Professional Counselor
Primary
LCPC-7165
ID
101YP2500X
Professional Counselor
SUPERVISOR
ID
106H00000X
Marriage & Family Therapist
LAMFT-6458
ID
172V00000X
Community Health Worker
LCPC-7165
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316373301
THE COMPANY I WORK FORS NPI IS 1316373301
ID
01
—
1568933521
A COMPANY THAT I WORK FORR
ID
01
—
463685355
THE TAX ID FOR THE COMPANY I WORK FOR IS 463685355
—
Enumeration date
11/02/2016
Last updated
01/04/2019
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