Provider Demographics
NPI:1366251209
Name:VOISINE, STEPHANIE (SWLC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:VOISINE
Suffix:
Gender:F
Credentials:SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 W CHAFFIN RD
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:MT
Mailing Address - Zip Code:59828-9586
Mailing Address - Country:US
Mailing Address - Phone:406-361-1829
Mailing Address - Fax:
Practice Address - Street 1:208 DALY AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-2828
Practice Address - Country:US
Practice Address - Phone:406-361-1829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health