Individual
STEPHANIE KUNKEL SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10270 S 2000 W, VICTOR, ID 83455-5269
(307) 760-8379
Mailing address
10270 S 2000 W, VICTOR, ID 83455-5269
(307) 760-8379
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PPC-1451
WY
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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