Provider Demographics
NPI:1962841833
Name:PARSONS, STEPHANIE E (MSC, LPC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:E
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MSC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83686-2727
Mailing Address - Country:US
Mailing Address - Phone:208-466-8778
Mailing Address - Fax:
Practice Address - Street 1:1217 3RD ST S
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-1003
Practice Address - Country:US
Practice Address - Phone:208-466-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-5175101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional