Individual
STEPHANIE HERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
1450 AVIATION DR STE 202, HAILEY, ID 83333-8785
(208) 727-8970
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
10/03/2017
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