Individual
LONNIE M STAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1250 W IRONWOOD DR STE 303, COEUR D ALENE, ID 83814-2682
(208) 771-5911
(208) 518-1258
Mailing address
1250 W IRONWOOD DR STE 303, COEUR D ALENE, ID 83814-2682
(208) 771-5911
(208) 518-1258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6878
ID
Other
Enumeration date
10/01/2015
Last updated
07/20/2019
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