Individual
SCOTT STANTLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1109 W MYRTLE ST STE 200, BOISE, ID 83702-6975
(208) 706-6375
(208) 706-6395
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8278
ID
101YP2500X
Professional Counselor
Primary
LCPC-10257
ID
Other
Enumeration date
10/18/2021
Last updated
06/19/2026
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