Individual
CHANTEL LEE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
581 N ASH ST, BLACKFOOT, ID 83221-2223
(208) 973-5077
Mailing address
581 N ASH ST, BLACKFOOT, ID 83221-2223
(208) 973-5077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-43731
ID
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us