Stacie Marie Hettinga, LCPC is a
Counselor - Professional based in Council, Idaho. Stacie Marie Hettinga is licensed to practice in Idaho (license number LCPC3712) and her current practice location is
205 N Berkley, Council, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 253-6850.
NPI number for Stacie Marie Hettinga is 1386836310 and her current mailing address is Po Box 428, Council, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386836310.
Healthcare Provider's Profile
| Full Name | Stacie Marie Hettinga |
|---|
| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 205 N Berkley, Council, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386836310
- Provider Enumeration Date: 08/14/2007
- Last Update Date: 08/14/2007
Medical Identifiers
Medical identifiers for Stacie Marie Hettinga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386836310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LCPC3712 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie Marie Hettinga is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacie Marie Hettinga, LCPC
Po Box 428,
Council, ID 83612
Ph: (208) 253-4242 | Stacie Marie Hettinga, LCPC
205 N Berkley,
Council, ID 83612
Ph: (208) 253-6850 |
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