MARILOVE CHALLENGER

BOISE, ID
NPI1174679492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC 35)
Enumeration Date2007-01-27
Last Update Date2007-07-08
Business Address
-- MARILOVE CHALLENGER LCPC
1408 W HAYS ST
BOISE, ID 83702-5028
Phone number: 208-345-2207
Mailing Address
-- MARILOVE CHALLENGER LCPC
1408 W HAYS ST
BOISE, ID 83702-5028
Phone number: 208-345-2207