person
Stacie Marie Hettinga, LCPC
Professional Counselor in Council, Idaho
NPI 1386836310

Stacie Marie Hettinga is a Professional Counselor based in Council, ID and is specialized in Professional. Stacie Marie Hettinga practices in Council, ID and has the professional credentials of LCPC. The NPI Number for Stacie Marie Hettinga is 1386836310 and holds a License No. LCPC3712 (Idaho).

The current practice location address for Stacie Marie Hettinga is 205 N Berkley, Council, ID and can be reached out via phone at 208-253-6850 and via fax at 208-253-6849.

Location: 205 N Berkley, Council, ID, 83612
person
Provider Profile Details
NPI Number
1386836310
Provider Name
Stacie Marie Hettinga
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
205 N Berkley, Council, ID, 83612
Phone Number
208-253-6850
Fax Number
208-253-6849
Provider Enumeration Date
08/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 N Berkley
City
State
Zip
83612
Phone Number
208-253-6850
Fax Number
208-253-6849
person
Provider Business Mailing Address Details
Address
205 N Berkley
City
State
Zip
83612
Phone Number
208-253-6850
Fax Number
208-253-6849
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC3712 (Idaho)
Definition
Definition to come...
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