Individual
STEPHEN W GAJEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, M.S.C
Contact information
Practice address
2448 N MERRITT CREEK LOOP, SUITE 2E, COEUR D ALENE, ID 83814-6215
(509) 521-7457
(208) 287-9426
Mailing address
310 DOUGLASS AVE, RICHLAND, WA 99352-4313
(509) 521-7457
(208) 287-9426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 5180
ID
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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