specializing in counselor in Blackfoot, Idaho
NPI: 1013135029
Provider Type
2
Practice Locations
Mailing Location
PO BOX 306
6 W BRIDGE ST.
BLACKFOOT, ID 83221
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:4/23/2007
Last Updated:8/22/2020
Credentials
Primary Credential: