specializing in counselor in Eagle, Idaho

NPI: 1013514728

Provider Type

2

Practice Locations

Mailing Location

2886 E FERN BROOK DR

EAGLE, ID 83616

📞 2089126621

Practice Location

136 S ACADEMY AVE STE G

EAGLE, ID 83616

📞 2089126621

📠 2089399110

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/6/2020
Last Updated:11/5/2020

Credentials

Primary Credential:
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null null null - Counselor in Eagle, Idaho