SHANTAL LEE LAULU

POCATELLO, ID
NPI1538596226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-5335)
Enumeration Date2013-09-26
Last Update Date2013-09-26
Business Address
Mrs. SHANTAL LEE LAULU LCPC, CADC
110 S 19TH AVE
POCATELLO, ID 83201-3312
Phone number: 208-234-4722
Mailing Address
Mrs. SHANTAL LEE LAULU LCPC, CADC
110 S 19TH AVE
POCATELLO, ID 83201-3312
Phone number: 208-234-4722