| Still Waters Counseling Llc | |
|
1309 Camas St Blackfoot ID 83221-3060 | |
| (208) 782-0678 | |
| Not Available |
| Full Name | Still Waters Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1309 Camas St, Blackfoot, Idaho |
| Authorized Official Name and Position | Staci Stevenson (OFFICE MANAGER) |
| Authorized Official Contact | 2087820678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Waters Counseling Llc 1309 Camas St Blackfoot ID 83221-3060 Ph: () - | Still Waters Counseling Llc 1309 Camas St Blackfoot ID 83221-3060 Ph: (208) 782-0678 |
| NPI Number | 1306203468 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 01/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306203468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LMSW27872 (Idaho) | Primary |
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