Individual
SARA STENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
387 CHESAPEAKE AVE, CHUBBUCK, ID 83202-1628
(208) 352-6486
Mailing address
387 CHESAPEAKE AVE, CHUBBUCK, ID 83202-1628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-9518
ID
101YM0800X
Mental Health Counselor
LPC6255
ID
Other
Enumeration date
03/22/2017
Last updated
12/27/2023
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