MEDICARE: STEVEN CRAIG TANNER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	1671193	ID

General Provider Information

NPI Number	:	1417883844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN CRAIG TANNER LPC

Provider Business Mailing Address
First Line	:	3800 EAST MAN O'WAR DRIVE
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686
Country	:	US
Telephone Number	:	208-912-6994
Fax Number	:

Provider Business Practice Location Address
First Line	:	422 S 9TH AVE
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-4153
Country	:	US
Telephone Number	:	208-912-6994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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Directions to “ STEVEN CRAIG TANNER LPC” Practice Location

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