Individual
STEPHANIE KAY ROTHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
(208) 969-8380
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
(208) 969-8380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
LMSW-44589
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-44589
ID
Other
Enumeration date
08/02/2017
Last updated
07/10/2025
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