Individual provider · Type 1 NPI

Stacie Marie Hettinga, LCPC

Professional Counselor · Council, ID

NPI number 1386836310 Active

About NPI 1386836310

Stacie Marie Hettinga, LCPC's National Provider Identifier is 1386836310, issued on Aug 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Council, ID. The record was last updated on Aug 14, 2007.