CHANTEL WALLACE

specializing in counselor in Blackfoot, Idaho

NPI: 1669234308

Provider Type

1

Practice Locations

Mailing Location

581 N ASH ST

BLACKFOOT, ID 83221

📞 2089735077

Practice Location

581 N ASH ST

BLACKFOOT, ID 83221

📞 2089735077

Provider Information

Gender:F
Sole Proprietor:Yes
Enumeration Date:1/29/2024
Last Updated:1/29/2024

Credentials

Primary Credential:
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