Individual
STACY JO PRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1448 E CENTER ST STE A1, POCATELLO, ID 83201-4132
(208) 478-4642
(207) 232-8001
Mailing address
5167 W YARROW RD, POCATELLO, ID 83201-9028
(208) 709-0111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-4180
ID
Other
Enumeration date
05/06/2009
Last updated
10/04/2023
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