Organization
STILL WATERS COUNSELING LLC
Active
Organization
STILL WATERS COUNSELING LLC
Active
Other names
Stillwaters Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIE LEE STEPHENSON (OFFICE MANAGER)
(208) 782-0675
Entity
Organization
Contact information
Practice address
1309 CAMAS ST, BLACKFOOT, ID 83221-3060
(208) 782-0675
(208) 782-0678
Mailing address
1309 CAMAS, PO BOX 903, BLACKFOOT, ID 83221
(208) 680-5751
(208) 782-0678
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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