JOHN D STEPHENSON

BLACKFOOT, ID
NPI1528126158
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: ID  LCSW-26187)
Enumeration Date2006-12-05
Last Update Date2014-08-04
Business Address
MR. JOHN D STEPHENSON LCSW
1309 CAMAS ST
BLACKFOOT, ID 83221-3060
Phone number: 208-782-0675
Mailing Address
MR. JOHN D STEPHENSON LCSW
PO BOX 903
BLACKFOOT, ID 83221-0903
Phone number: 208-782-0675
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