specializing in counselor in Ammon, Idaho
NPI: 1629815766
Provider Type
2
Practice Locations
Mailing Location
2705 E 17TH ST
AMMON, ID 83406
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:7/15/2024
Last Updated:7/15/2024
Credentials
Primary Credential: