Individual
STEPHANIE DANAE BLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
704 E 4TH AVE, POST FALLS, ID 83854-7559
(208) 676-1075
Mailing address
704 E 4TH AVE, POST FALLS, ID 83854-7559
(208) 676-1075
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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