Organization
SAGE COUNSELING GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DOCKSTADER (DIRECTOR)
(208) 543-4494
Entity
Organization
Contact information
Practice address
834 FALLS AVE, STE 1280, TWIN FALLS, ID 83301-3365
(208) 732-1185
(208) 543-2828
Mailing address
834 FALLS AVE, STE 1280, TWIN FALLS, ID 83301-3365
(208) 732-1185
(208) 543-2828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW1389
ID
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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