Organization
STILLWATERS COUNSELING LLC
Active
Other names
Stillwaters Counseling LLC, Stillwaters Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIE LEE STEPHENSON (OFFICE MANAGER)
(208) 782-0675
Entity
Organization
Contact information
Practice address
1309 CAMAS ST, BLACKFOOT, ID 83221-3060
(208) 680-5751
(208) 782-0678
Mailing address
PO BOX 903, BLACKFOOT, ID 83221-0903
(208) 782-0675
(208) 782-0678
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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