Stephanie Lynn Callen
Addiction Counselor (Substance Use Disorder)
630 Addison Ave W Ste 1000
Twin Falls
, Idaho 83301-5853
Stephanie Lynn Callen
Addiction Counselor (Substance Use Disorder)
630 Addison Ave W Ste 1000
Twin Falls
, Idaho 83301-5853
(208) 736-5048
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Stephanie Lynn Callen
- 630 Addison Ave W Ste 1000
- Twin Falls, ID
- Zip : 83301-5853
- Phone : (208) 736-5048
Second Address
- Stephanie Lynn Callen
- 630 Addison Ave W Ste 1000
- Twin Falls, ID
- Zip : 83301-5853
- Phone : (208) 736-5048
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LSW-38944 | ID |
National Provider Identifier
| NPI | 1003405085 |
|---|---|
| Provider Name | Stephanie Lynn Callen |
| First Address | Twin Falls, ID 83301-5853 |
| Second Address | Twin Falls, ID 83301-5853 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2021 |
| Last Update Date | 13/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.