STEPHEN CRANE
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1245164128- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 412 E 41ST ST STE 2, GARDEN CITY, ID, 837146348
- Phone
- (208) 996-3650
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #9481813