Individual
STEPHANIE SHAWN REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
120 E LAKE ST STE 305, SANDPOINT, ID 83864-1366
(208) 719-1854
Mailing address
410 S LAVINA AVE APT 1, SANDPOINT, ID 83864-1145
(208) 719-1854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184213142
BLUE CROSS
ID
05
—
1184213142
—
ID
Enumeration date
01/14/2021
Last updated
02/20/2023
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