STACIE HETTINGA, LCPC

Counselor - Professional

Active Individual
NPI: 1386836310

Practice Address

205 N BERKLEY
Council, ID 83612

Phone: (208) 253-6850

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes LCPC3712 (ID)

Frequently Asked Questions

NPI 1386836310 is the National Provider Identifier for STACIE HETTINGA, LCPC, a Counselor - Professional provider located in Council, ID. This NPI was enumerated on August 14, 2007.
STACIE HETTINGA, LCPC practices at 205 N BERKLEY, Council, ID 83612.

Quick Facts

NPI
1386836310
Type
Individual
Enumerated
Aug 14, 2007
Last Updated
Aug 14, 2007

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