Individual
MS. STACY ANNETTE BRITTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
610 W HUBBARD ST STE 226, COEUR D ALENE, ID 83814-2200
(650) 793-4966
Mailing address
14359 E PERIMETER RD, ATHOL, ID 83801-9063
(650) 793-4966
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7353
ID
Other
Enumeration date
07/09/2019
Last updated
04/30/2021
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