JO ANNA SHOTIVEYARATANA

POCATELLO, ID
NPI1104424191
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YS0200X Counselor, School
(Licence: ID  LPC-7837)
Enumeration Date2020-10-13
Last Update Date2024-12-05
Business Address
JO ANNA SHOTIVEYARATANA MA, LPC
756 ASH ST
POCATELLO, ID 83201-6104
Phone number: 208-252-5087
Mailing Address
JO ANNA SHOTIVEYARATANA MA, LPC
756 ASH ST
POCATELLO, ID 83201-6104
Phone number: 208-252-5087
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