KEATON JAKE SUITTER

IDAHO FALLS, ID
NPI1639852668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-9695)
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
KEATON JAKE SUITTER LPC
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5298
Phone number: 208-346-7500
Mailing Address
KEATON JAKE SUITTER LPC
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5298
Phone number: 208-346-7500
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