LISA PATRICK

POCATELLO, ID
NPI1518117860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-09-23
Last Update Date2008-09-23
Business Address
-- LISA PATRICK
2055 GARRETT WAY STE 1
POCATELLO, ID 83201-5100
Phone number: 208-236-1600
Mailing Address
-- LISA PATRICK
2055 GARRETT WAY STE 1
POCATELLO, ID 83201-5100
Phone number: 208-236-1600