MS. SHARHONDA CHANTELL STEVENSON MA, LPC, NCC ,MDFT
NPI 1730914037
Counselor - Mental Health in Pocatello, ID
Active since September 05, 2024
About Ms. Sharhonda Chantell Stevenson Ma, Lpc, Ncc ,mdft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHARHONDA CHANTELL STEVENSON MA, LPC, NCC ,MDFT (NPI 1730914037) is an individual mental health provider in Pocatello, Idaho, licensed in Idaho (LPC-9534) and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1730914037
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SHARHONDA CHANTELL STEVENSONCredential: MA, LPC, NCC ,MDFT
Location Address611 WILSON AVE STE 5Pocatello, ID 83201-5046
Mailing Address611 Wilson Ave Ste 5Pocatello, ID 83201-5046 · (208) 915-8448 · Fax (208) 240-9257
Phone(208) 915-8448
Fax(208) 240-9257
Sole ProprietorNo
Enumeration DateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1730914037 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LPC-9534
611 WILSON AVE STE 5, Pocatello, ID 83201
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730914037, enumerated as an "individual" on September 05, 2024.
The provider is located at 611 WILSON AVE STE 5 POCATELLO, ID 83201 and the phone number is (208) 915-8448.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.