Individual
MS. STEPHANIE CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2635 CHANNING WAY STE B, IDAHO FALLS, ID 83404-7518
(208) 552-0490
(208) 552-2518
Mailing address
375 N 4TH W APT 3, RIGBY, ID 83442-5032
(208) 991-4296
(208) 261-1922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-36853
ID
1041C0700X
Clinical Social Worker
Primary
LMSW-33840
ID
Other
Enumeration date
09/16/2014
Last updated
07/21/2022
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