Stacie Marie Hettinga

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NPI Number Detailed Information

Provider Information:

Name:	Stacie Marie Hettinga
Gender:	F
Provider License Number If Given:	LCPC3712

NPI Information:

NPI:	1386836310
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	8/14/2007
Last Update Date:	8/14/2007

Provider Business Mailing Address:

Address:	PO BOX 428 Council, ID 83612
Phone Number:	2082534242
Fax Number:	2082536849

Provider Business Practice Location Address:

Address:	205 N BERKLEY Council, ID 83612
Phone Number:	2082536850
Fax Number:	2082536849

Provider Taxonomy:

Primary:	101YP2500X
Secondary (if any):
State:	ID

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About Stacie Marie Hettinga

Stacie Marie Hettinga ( STACIE MARIE HETTINGA ) is Definition Counselor Physician in Council, ID. The NPI Number for Stacie Marie Hettinga is 1386836310.

The current location address for Stacie Marie Hettinga is 205 N BERKLEY Council, ID 83612 and the contact number is 2082534242 and fax number is 2082536849. The mailing address for Stacie Marie Hettinga is PO BOX 428 Council, ID 83612- 2082536850 (mailing address contact number - 2082534242).

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FAQs:

What is the NPI Number for Stacie Marie Hettinga ?

Answer: The NPI Number for Stacie Marie Hettinga is 1386836310

Where is Stacie Marie Hettinga located?

Answer: Stacie Marie Hettinga is located at 205 N BERKLEY Council, ID 83612.

What is the specialty for Stacie Marie Hettinga ?

Answer: The Specialty of Stacie Marie Hettinga is Definition Counselor Physician.

Are there any online reviews for Stacie Marie Hettinga ?

Answer: Not yet!

Are there any other health care providers in Council, ID?

Answer: Yes, there are given below...

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