Individual provider · Type 1 NPI
Stacy Nicole Luce, LCPC
Professional Counselor · Kootenai, ID
NPI number
1114286358
Active
Practice location
404 Kootenai St
Kootenai, ID 83840-0276
Mailing address
PO Box 203
Kootenai, ID 83840-0203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC-6335 (ID) |
| Professional Counselor Primary | 101YP2500X | LCPC-6335 (ID) |
Professional Counselor: Definition to come...
About NPI 1114286358
Stacy Nicole Luce, LCPC's National Provider Identifier is 1114286358, issued on May 9, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kootenai, ID. The record was last updated on Aug 24, 2020.