VICTOR KIERNAN THOMAS

CHUBBUCK, ID
NPI1518708171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  10431)
Enumeration Date2024-06-05
Last Update Date2024-06-05
Business Address
VICTOR KIERNAN THOMAS
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-648-4167
Mailing Address
VICTOR KIERNAN THOMAS
4650 HAWTHORNE RD
CHUBBUCK, ID 83202-2376
Phone number: 208-648-4167
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