specializing in counselor in Kooskia, Idaho

NPI: 1073634929

Provider Type

2

Practice Locations

Mailing Location

PO BOX 1123

LEWISTON, ID 83501

📞 2087438101

📠 2087467402

Practice Location

006 MAIN

KOOSKIA, ID 83539

📞 2089837717

📠 2089837787

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:4/2/2007
Last Updated:8/22/2020

Credentials

Primary Credential:
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