KRISTI MATHISTAD

PLUMMER, ID
NPI1568739548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-11-19
Last Update Date2011-11-19
Business Address
-- KRISTI MATHISTAD CADC
1115 B STREET
PLUMMER, ID 83851
Phone number: 208-686-1931
Mailing Address
-- KRISTI MATHISTAD CADC
1115 B STREET PO BOX 388
PLUMMER, ID 83851
Phone number: 208-686-1931
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