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STACI ROCK SOMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
4337 S MAESAIA WAY, MERIDIAN, ID 83642-9084
(208) 607-3639
Mailing address
PO BOX 191097, BOISE, ID 83719-1097
(208) 607-3639

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC8965
ID

Other

Enumeration date
07/21/2022
Last updated
07/21/2022
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