Stacie Hettinga, LCPC

NPI 1386836310 · on the registry since 2007

Practice

Address: 205 N Berkley
Council, ID 83612
Phone: (208) 253-6850
Fax: (208) 253-6849
Organisation at this address: Council Valley Ambulance
Adams County Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Professional Counselor
101YP2500X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-08-14

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