CHRISTINE M IVIE

JEROME, ID
NPI1679268106
Professional NameCHRISTINE M IVIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
Additional Taxonomies101Y00000X Counselor
(Licence: ID  LPC-815)
101YM0800X Counselor Mental Health
101YS0200X Counselor School
Enumeration Date2023-04-10
Last Update Date2023-04-10
Business Address
CHRISTINE M IVIE LPC - 815
41 NORTHRIDGE WAY
JEROME, ID 83338-6200
Phone number: 208-871-7749
Mailing Address
CHRISTINE M IVIE LPC - 815
41 NORTHRIDGE WAY
JEROME, ID 83338-6200
Phone number: 208-871-7749