Individual
MRS. RANDI MARIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC, CRC
Contact information
Practice address
1621 N 3RD ST STE 1100, COEUR D ALENE, ID 83814-3381
(208) 625-1343
Mailing address
1819 W GRANGE AVE, POST FALLS, ID 83854-8554
(208) 625-1343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4085
ID
225C00000X
Rehabilitation Counselor
00108377
ID
Other
Enumeration date
09/18/2009
Last updated
07/29/2013
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