Individual
MRS. STACY FREIBURGHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
623 S UNIVERSITY BLVD, NAMPA, ID 83686-5800
(208) 695-8065
Mailing address
623 S UNIVERSITY BLVD, NAMPA, ID 83686-5800
(208) 695-8065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC4781
ID
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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