STACI BRISCOE, LSW

Counselor

Active Individual
NPI: 1578789392

Practice Address

2055 GARRETT WAY
SUITE 1
Pocatello, ID 83201

Phone: (208) 233-7832

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes LSW27082 (ID)

Frequently Asked Questions

NPI 1578789392 is the National Provider Identifier for STACI BRISCOE, LSW, a Counselor provider located in Pocatello, ID. This NPI was enumerated on April 18, 2007.
STACI BRISCOE, LSW practices at 2055 GARRETT WAY, SUITE 1, Pocatello, ID 83201.

Quick Facts

NPI
1578789392
Type
Individual
Enumerated
Apr 18, 2007
Last Updated
Jul 8, 2007

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