Organization
TREE CITY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTEENA JOY STEPHENS LPC, LAMFT (OWNER/THERAPIST)
(208) 817-0234
Entity
Organization
Contact information
Practice address
410 S ORCHARD ST STE 128, BOISE, ID 83705-1288
(208) 817-0234
(833) 898-4093
Mailing address
410 S ORCHARD ST STE 128, BOISE, ID 83705-1288
(208) 817-0234
(833) 898-4093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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