KATIE L MULALLEY

POCATELLO, ID
NPI1386967966
Former NameKATIE L COLLINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LPC-5000)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2010-03-10
Last Update Date2012-10-11
Business Address
-- KATIE L MULALLEY LPC
353 N 4TH AVE STE 110
POCATELLO, ID 83201-6390
Phone number: 208-233-7832
Mailing Address
-- KATIE L MULALLEY LPC
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600