Individual
STACEY DENISE SEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
39 E STATE AVE, MERIDIAN, ID 83642-2342
(208) 860-4148
Mailing address
3581 N RHONE PL, STAR, ID 83669-5449
(208) 860-4148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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