CHRISTA M STALLWORTH

BOISE, ID
NPI1023412202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  5664)
Enumeration Date2014-10-16
Last Update Date2016-09-02
Business Address
-- CHRISTA M STALLWORTH LPC
8950 W EMERALD ST SUITE 178
BOISE, ID 83704-4854
Phone number: 208-376-7083
Mailing Address
-- CHRISTA M STALLWORTH LPC
PO BOX 15914
BOISE, ID 83715-5914
Phone number:
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