Doctor Name: | STACI ARMSTRONG |
NPI Number: | 1366701138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC-4972 |
Business Practice Address: | 1334 Miller Ave Burley, ID - 83318 |
Business Phone Number: | 2083120107 |
Business Fax Number: | |
Mailing Address: | 629 W 27th St, BURLEY |
State: | ID |
Postal Code: | 833182834 |
Phone Number: | 2086506972 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2012 |
NPI Last Update Date: | 05/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-4972 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |