JACOB PANNELL

specializing in counselor in Lewiston, Idaho

NPI: 1396519880

Provider Type

1

Practice Locations

Mailing Location

PO BOX 812

LEWISTON, ID 83501

Practice Location

1630 23RD AVE BLDG 2

LEWISTON, ID 83501

📞 2087467784

📠 2087988652

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:11/14/2023
Last Updated:11/14/2023

Credentials

Primary Credential:
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JACOB PANNELL - Counselor in Lewiston, Idaho