Individual
RAINI NICHOLE STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
550 W SUNNYSIDE RD, IDAHO FALLS, ID 83402-4619
(208) 529-5777
(208) 529-5778
Mailing address
4145 SPARTINA ST, IDAHO FALLS, ID 83401-3726
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-8915
ID
101YM0800X
Mental Health Counselor
Primary
8331343
ID
101YM0800X
Mental Health Counselor
Primary
LPC-8915
ID
101YP2500X
Professional Counselor
LPC-8915
ID
101YS0200X
School Counselor
LPC-8915
ID
Other
Enumeration date
06/13/2022
Last updated
03/03/2026
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