person
Stacy Nicole Luce, LCPC
Professional Counselor in Kootenai, Idaho
NPI 1114286358

Stacy Nicole Luce is a Professional Counselor based in Kootenai, ID and is specialized in Professional. Stacy Nicole Luce practices in Kootenai, ID and has the professional credentials of LCPC. The NPI Number for Stacy Nicole Luce is 1114286358 and holds a License No. LCPC-6335 (Idaho).

The current practice location address for Stacy Nicole Luce is 404 Kootenai St, Kootenai, ID and can be reached out via phone at 810-845-4472.

Location: 404 Kootenai St, Kootenai, ID, 83840-0203
person
Provider Profile Details
NPI Number
1114286358
Provider Name
Stacy Nicole Luce
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
404 Kootenai St, Kootenai, ID, 83840-0203
Phone Number
810-845-4472
Fax Number
Provider Enumeration Date
05/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114286358 05 ID
institution
Provider Business Practice Location Address Details
Address
404 Kootenai St
City
State
Zip
83840-0276
Phone Number
810-845-4472
Fax Number
person
Provider Business Mailing Address Details
Address
404 Kootenai St
City
State
Zip
83840-0276
Phone Number
810-845-4472
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-6335 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-6335 (Idaho)
Definition
Definition to come...
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