Individual
STEPHANIE THERESE BREITENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4477 W EMERALD ST STE C125, BOISE, ID 83706-2000
(928) 853-5475
(208) 629-5131
Mailing address
4477 W EMERALD ST STE C125, BOISE, ID 83706-2000
(208) 495-4147
(208) 629-5131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-6978
ID
101YP2500X
Professional Counselor
LPC-16079
AZ
Other
Enumeration date
07/25/2019
Last updated
06/15/2026
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