Individual
MELISA M MCTAGGERT STERNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1839 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3454
(208) 797-1162
(208) 625-2079
Mailing address
4371 W MAGRATH DR, COEUR D ALENE, ID 83815-0021
(208) 797-1162
(208) 625-2079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMSW39646
ID
1041C0700X
Clinical Social Worker
Primary
42878
ID
Other
Enumeration date
06/14/2021
Last updated
07/03/2023
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