Individual
STEPHANIE LE ANNE BEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
800 MAIN ST # 11, LEWISTON, ID 83501-1838
(208) 746-7661
(208) 746-0811
Mailing address
800 MAIN ST # 11, LEWISTON, ID 83501-1838
(208) 746-7661
(208) 746-0811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LMSW36870
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
LMSW36870
ID
101YM0800X
Mental Health Counselor
Primary
LMSW36870
ID
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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