NPI 1013013010

Michael L Stevens, LCSW

Practitioner Mental Health Counselor Pocatello, ID

Practice location

Address: 109 N Arthur Ave STE 203, Pocatello, ID 83204-3105
Phone: (208) 234-4673
Fax: (208) 234-4677

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LCSW-1279 (ID)

Other Counselor providers in Idaho →

Registry record

NPI: 1013013010
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2006
Record last updated: 10 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.