JOSHUA M NIELSEN

POCATELLO, ID
NPI1598105462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-06-25
Last Update Date2013-06-25
Business Address
-- JOSHUA M NIELSEN
353 N 4TH AVE SUITE 110
POCATELLO, ID 83201-6390
Phone number: 208-233-7832
Mailing Address
-- JOSHUA M NIELSEN
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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