Individual
AMY A PRESTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2504 E 3719 N, TWIN FALLS, ID 83301-2011
(208) 280-1054
Mailing address
2504 E 3719 N, TWIN FALLS, ID 83301-2011
(208) 280-1054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC8067
ID
1041C0700X
Clinical Social Worker
LCPC383
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804052700
—
ID
Enumeration date
05/23/2007
Last updated
02/07/2022
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