Individual
BRETTE MARIE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 BELMONT ST., BOISE, ID 83706
(208) 426-1459
Mailing address
1741 W MARTEN CREEK DR, MERIDIAN, ID 83646-3295
(208) 850-4769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC6669
ID
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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