specializing in counselor in Eagle, Idaho

NPI: 1649674888

Provider Type

2

Practice Locations

Mailing Location

4875 W ATHENS CT

EAGLE, ID 83616

📞 2087317646

Practice Location

4875 W ATHENS CT

EAGLE, ID 83616

📞 2087317646

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/17/2014
Last Updated:10/17/2014

Credentials

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