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1235463597 NPI number — RANDI MARIE STEVENS M.ED, LPC, CRC

NPI Number: 1235463597
Health Care Provider/Practitioner: RANDI MARIE STEVENS M.ED, LPC, CRC

Information about “1235463597” NPI (RANDI MARIE STEVENS M.ED, LPC, CRC) exists in 1235463597 in HTML format HTML  |  1235463597 in plain Text format TXT  |  1235463597 in PDF (Portable Document Format) PDF  |  1235463597 in an XML format XML  formats.

NPI Number : 1235463597 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235463597",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEVENS",
    "FirstName": "RANDI",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.ED, LPC, CRC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHANDLER",
    "OtherFirstName": "RANDI",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1819 W GRANGE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POST FALLS",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83854-8554",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-625-1343",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1621 N 3RD ST STE 1100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COEUR D ALENE",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83814-3381",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-625-1343",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/18/2009",
    "LastUpdateDate": "07/29/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LPC-4085",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "225C00000X",
          "TaxonomyName": "Rehabilitation Counselor",
          "LicenseNumber": "00108377",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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