Individual
STACI ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1334 MILLER AVE, BURLEY, ID 83318
(208) 312-0107
Mailing address
629 W 27TH ST, BURLEY, ID 83318-2834
(208) 650-6972
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4972
ID
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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