Doctor Name: | DONNA STALLEY |
NPI Number: | 1407279128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC, LSW |
License Number: | LCPC-3443 |
Business Practice Address: | 834 Falls Ave Ste 1050 Twin Falls, ID - 833013365 |
Business Phone Number: | 2087360995 |
Business Fax Number: | |
Mailing Address: | 834 Falls Ave, Ste 1050 TWIN FALLS |
State: | ID |
Postal Code: | 833013365 |
Phone Number: | 2087360995 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2014 |
NPI Last Update Date: | 01/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LCPC-3443 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |