person
Mr. John D Stephenson, LCSW
Mental Health Counselor in Blackfoot, Idaho
NPI 1528126158

John D Stephenson is a Mental Health Counselor based in Blackfoot, ID and is specialized in Mental Health. John D Stephenson practices in Blackfoot, ID and has the professional credentials of LCSW. The NPI Number for John D Stephenson is 1528126158 and holds a License No. LCSW-26187 (Idaho).

The current practice location address for John D Stephenson is 1309 Camas St, Blackfoot, ID and can be reached out via phone at 208-782-0675 and via fax at 208-782-0678. You can also correspond with John D Stephenson through the mailing address at PO BOX 903, BLACKFOOT, ID - 83221-0903 (mailing address contact number: 208-782-0675).

Location: 1309 Camas St, Blackfoot, ID, 83221-0903
person
Provider Profile Details
NPI Number
1528126158
Provider Name
John D Stephenson
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
1309 Camas St, Blackfoot, ID, 83221-0903
Phone Number
208-782-0675
Fax Number
208-782-0678
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806939500 05 ID
807352800 05 ID
institution
Provider Business Practice Location Address Details
Address
1309 Camas St
City
State
Zip
83221-3060
Phone Number
208-782-0675
Fax Number
208-782-0678
person
Provider Business Mailing Address Details
Address
1309 Camas St
City
State
Zip
83221-3060
Phone Number
208-782-0675
Fax Number
208-782-0678
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCSW-26187 (Idaho)
Definition
Definition to come...
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