Individual
STEPHEN ANNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-40176
Contact information
Practice address
315 E ELM ST STE 201, CALDWELL, ID 83605-4857
(208) 514-2528
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-40176
ID
1041C0700X
Clinical Social Worker
LMSW-36483
ID
Other
Enumeration date
03/07/2017
Last updated
03/07/2024
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