Provider Information for 1508396714
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
STEVEN RICHARD MINER MS, MFT, LPC
Sex: Male
NPI: 1508396714
Last Updated: 2024-02-16
Certification Date: 2024-02-16
Certification Date: 2024-02-16
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1508396714 | ||||||||
Enumeration Date | 2017-06-20 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 500 S 11TH AVE STE 400 POCATELLO, ID 83201-4880 United States Phone: 208-232-7862 | Fax:208-233-0835 | ||||||||
Primary Practice Address | 1025 W ELDREDGE RD POCATELLO, ID 83201-5527 United States Phone: 208-425-2489 | Fax: | ||||||||
Secondary Practice Address(es) | 1001 N 7TH AVE STE 135 | ||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|