LETTIE STRADLEY-BASS

IDAHO FALLS, ID
NPI1043869142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  7198)
Enumeration Date2019-09-10
Last Update Date2023-06-05
Business Address
LETTIE STRADLEY-BASS LCPC-8478
9915 N 26TH E
IDAHO FALLS, ID 83401-6435
Phone number: 208-521-8389
Mailing Address
LETTIE STRADLEY-BASS LCPC-8478
9915 N 26TH E
IDAHO FALLS, ID 83401-6435
Phone number: 208-201-4510