Individual
LINDSEY M BASNAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 KOOTENAI CUTOFF RD, PONDERAY, ID 83852-9720
(208) 304-8711
Mailing address
822 KOOTENAI CUTOFF RD, PONDERAY, ID 83852-9720
(208) 304-8711
(509) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SA60711545
WA
1041C0700X
Clinical Social Worker
Primary
8671832
ID
Other
Enumeration date
05/16/2019
Last updated
06/10/2025
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