Stacy Jo Pray, LCPC
Stacy Jo Pray, LCPC is an Undefined Non-Physician Type (Specify) in Pocatello, Idaho. Qualified in 2004, 22 years ago. Practices with Pray Counseling LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.
- Years since qualifying
- 22
- Licensed in
- ID
- In the registry since
- 2009
What do these letters mean?
- LCPC — Licensed Clinical Professional Counselor
- A licensed clinical counsellor.
Practice location Address checks out
1448 E Center St Ste A1Pocatello, ID 83201-4132
Phone: (208) 478-4642
Fax: (207) 232-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence LCPC-4180 (ID) |
|---|
Record details
| NPI number | 1285868125 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCPC |
| Sole proprietor | No |
| NPI enumerated | May 6, 2009 |
| Last updated in NPPES | October 4, 2023 |
| Certification date | March 31, 2023 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Pray Counseling Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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Charity Potter, LCPC, LSW
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Gary Sean Redford, LPC, NCC
12930 N Rio Vista Rd, Pocatello, ID 83202-5007 · (208) 226-6059
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Mr. David W. Roberts, LCPC
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Clive Saxton
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