specializing in counselor in Chubbuck, Idaho
NPI: 1447013024
Provider Type
2
Practice Locations
Mailing Location
479 RAVEN WAY APT A
CHUBBUCK, ID 83202
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:2/5/2024
Last Updated:2/5/2024
Credentials
Primary Credential: