Organization
STACEY TITUS PLLC
Active
Other names
Clearwater Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY TITUS LCSW38145 (LICENSED CLINICAL SOCIAL WORKER)
(208) 860-2656
Entity
Organization
Contact information
Practice address
5440 W FRANKLIN RD STE 201, BOISE, ID 83705-6434
(208) 860-2656
Mailing address
11868 W GUNSMOKE DR, BOISE, ID 83713-4753
(208) 860-2656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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