KELLY LYNN CHATTERTON

POCATELLO, ID
NPI1295354355
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  122928)
Enumeration Date2020-04-09
Last Update Date2020-04-09
Business Address
Miss KELLY LYNN CHATTERTON ICADC, CADC, SAP
809 N ARTHUR AVE
POCATELLO, ID 83204-2803
Phone number: 208-339-4632
Mailing Address
Miss KELLY LYNN CHATTERTON ICADC, CADC, SAP
5201 COLE ST
CHUBBUCK, ID 83202-4955
Phone number: 208-339-4632
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