Individual provider · Type 1 NPI

Lettie Stradley-Bass, LCPC-8478

Mental Health Counselor · Idaho Falls, ID

NPI number 1043869142 Active

Practice location

9915 N 26th E
Idaho Falls, ID 83401-6435

Call (208) 521-8389 Map

Fax (208) 271-8882

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7198 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1043869142

Lettie Stradley-Bass, LCPC-8478's National Provider Identifier is 1043869142, issued on Sep 10, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 5, 2023.