Individual
ELIZABETH CLARK STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
859 S YELLOWSTONE HWY # 2201, REXBURG, ID 83440-5293
(208) 649-8300
Mailing address
342 W 1ST S APT 101, REXBURG, ID 83440-5133
(208) 671-1537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-7104
ID
101YP2500X
Professional Counselor
LPC-6179
ID
Other
Enumeration date
08/09/2016
Last updated
10/22/2025
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