Individual
STACIE WORKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14149 FRACTUS DR, CALDWELL, ID 83607-4811
(208) 989-9194
Mailing address
14149 FRACTUS DR, CALDWELL, ID 83607-4811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-8815
ID
Other
Enumeration date
06/06/2022
Last updated
06/09/2022
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