Individual
CHRISTINA GAIL STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
531 BRYDEN AVE, LEWISTON, ID 83501-4438
(208) 798-1646
Mailing address
PO BOX 1895, LEWISTON, ID 83501-1463
(208) 798-1646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8243
ID
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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