Individual
JEFFREY JAMES SITEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA ED., LCPC
Contact information
Practice address
1125 E. POLSTON AVE, SUITE A, POST FALLS, ID 83854
(208) 457-1540
(208) 457-1202
Mailing address
1125 E. POLSTON AVENUE, SUITE A, POST FALLS, ID 83854
(208) 457-1540
(208) 457-1202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC - 3589
ID
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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