| Stacey Cooper, | |
|
75 S 1st W, Preston, ID 83263-1204 | |
| (208) 852-2370 | |
| Not Available |
| Full Name | Stacey Cooper |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 75 S 1st W, Preston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669265732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Cooper, 1158 N State St, Preston, ID 83263-5377 Ph: (435) 764-6242 | Stacey Cooper, 75 S 1st W, Preston, ID 83263-1204 Ph: (208) 852-2370 |
Trent Beutler Alder, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 N 100 E, Preston, ID 83263 Phone: 208-852-4107 | |
David Ronald Priestley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 75 S 1st W, Preston, ID 83263 Phone: 208-852-2370 Fax: 208-852-5570 | |
Heidi Carter, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 S 1st W, Preston, ID 83263 Phone: 082-852-2370 | |
Mrs. Alyssa Dyer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 S 1st W, Preston, ID 83263 Phone: 208-852-2370 | |
Jonathan Thacker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 S 1st W, Preston, ID 83263 Phone: 208-852-2370 |