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Organization

JANELLE STAUFFER, LCSW PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YESI JUAREZ (ADMINISTRATIVE ASSISTANT)
(208) 495-4358
Entity
Organization

Contact information

Practice address
1815 N 12TH ST, BOISE, ID 83702-2715
(208) 495-4358
Mailing address
1815 N 12TH ST, BOISE, ID 83702-2715

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/23/2026
Last updated
03/23/2026
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