Individual
MRS. STACY PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 366-1678
Mailing address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 366-1678
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-8410
ID
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
12/12/2019
Last updated
09/11/2023
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