Organization
JANELLE STAUFFER LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE STAUFFER LCSW (LCSW)
(208) 502-0183
Entity
Organization
Contact information
Practice address
684 B N 9TH STREET, BOISE, ID 83702
(208) 502-0183
Mailing address
2301 W LINCOLN AVE, NAMPA, ID 83686-8090
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW 30244
ID
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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