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Individual

STEPHANIE DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.COUN., LPC

Contact information

Practice address
2399 S ORCHARD ST, SUITE 203, BOISE, ID 83705-3793
(208) 342-7030
Mailing address
9090 W WOODGLADE LN, BOISE, ID 83714-1774
(208) 424-7917

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-4086
ID
101YP2500X
Professional Counselor
Primary
LPC-4086
ID

Other

Enumeration date
07/13/2009
Last updated
07/13/2009
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