Individual provider · Type 1 NPI

John D. Stephenson, LCSW

Mental Health Counselor · Blackfoot, ID

NPI number 1528126158 Active

Practice location

1309 Camas St
Blackfoot, ID 83221-3060

Call (208) 782-0675 Map

Fax (208) 782-0678

Mailing address

PO Box 903
Blackfoot, ID 83221-0903

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW-26187 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1528126158

John D. Stephenson, LCSW's National Provider Identifier is 1528126158, issued on Dec 5, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blackfoot, ID. The record was last updated on Aug 4, 2014.