MICHAEL L STEVENS

POCATELLO, ID
NPI1013013010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCSW-1279)
Enumeration Date2006-09-16
Last Update Date2021-12-10
Business Address
MICHAEL L STEVENS LCSW
109 N ARTHUR AVE STE 203
POCATELLO, ID 83204-3105
Phone number: 208-234-4673
Mailing Address
MICHAEL L STEVENS LCSW
109 N ARTHUR AVE STE 203
POCATELLO, ID 83204-3105
Phone number: 208-234-4673
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