Individual
STEPHEN CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 E 41ST ST STE 2, GARDEN CITY, ID 83714-6348
(208) 996-3650
Mailing address
2611 W LEMP ST, BOISE, ID 83702-2349
(208) 996-3650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9481813
ID
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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