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Stephen Bunnell
NPI 1225373137 · on the registry since 2012
Practice
- Address
- 824 Mccormick Rd
Weiser, ID 83672 - Phone
- (208) 248-0477
- Organisation at this address
- Mellow Mountain Counseling Pllc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 750 N Freedom Blvd, Provo, UT
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 390200000X
- Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho