STACIA CARR-PETERSON

Counselor - Professional

Active Individual
NPI: 1396827234

Practice Address

560 W CANFIELD AVE
STE 300
Coeur D Alene, ID 83815

Phone: (208) 758-7111

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes LCPC-3456 (ID)

Frequently Asked Questions

NPI 1396827234 is the National Provider Identifier for STACIA CARR-PETERSON, a Counselor - Professional provider located in Coeur D Alene, ID. This NPI was enumerated on October 19, 2006.
STACIA CARR-PETERSON practices at 560 W CANFIELD AVE, STE 300, Coeur D Alene, ID 83815.

Quick Facts

NPI
1396827234
Type
Individual
Enumerated
Oct 19, 2006
Last Updated
Aug 5, 2016

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