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1407450216
MARK GUNTHER RODEL
IDAHO FALLS, ID
NPI
1407450216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-4784)
Enumeration Date
2020-11-23
Last Update Date
2024-07-10
Business Address
MARK GUNTHER RODEL LPC
1262 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-346-0688
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Mailing Address
MARK GUNTHER RODEL LPC
1262 E 17TH ST
IDAHO FALLS, ID 83404-6147
Phone number: 208-346-0688
Copy
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