MARK STEVENS

LEWISTON, ID
NPI1992253165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC677)
Enumeration Date2016-09-16
Last Update Date2016-09-16
Business Address
-- MARK STEVENS
312 MILLER ST
LEWISTON, ID 83501-1944
Phone number: 208-750-1802
Mailing Address
-- MARK STEVENS
2513 9TH AVE
LEWISTON, ID 83501-3459
Phone number: 208-816-0721
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