CHESTER C MARDIS

TWIN FALLS, ID
NPI1114203031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC4840)
Enumeration Date2011-10-24
Last Update Date2015-01-12
Business Address
-- CHESTER C MARDIS LPC/NCC
493 EASTLAND DR.
TWIN FALLS, ID 83301
Phone number: 208-732-0995
Mailing Address
-- CHESTER C MARDIS LPC/NCC
P.O. BOX 47
TWIN FALLS, ID 83303
Phone number: 208-732-0995
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