Pray, Stacy Jo
Pray, Stacy Jo is an individual health care provider with primary practice located at 1448 E Center St Ste A1 , Pocatello ID 83201-4132. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pray, Stacy Jo can be contacted via phone (208) 478-4642.Contact Information
Primary practice address
1448 E Center St Ste A1
Pocatello ID 83201-4132
Phone: (208) 478-4642
Fax: (207) 232-8001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC-4180 | Idaho |
Profile Details
| NPI number | 1285868125 |
|---|---|
| LBN Legal business name | Pray, Stacy Jo |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2009 |
| Last updated | Oct 4th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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