GINA H JUDD

POCATELLO, ID
NPI1699005132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-4357)
Additional Taxonomies101Y00000X Counselor
(Licence: ID  LPC-4357)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  LPC-4357)
Enumeration Date2010-01-06
Last Update Date2010-01-06
Business Address
-- GINA H JUDD LPC
819 N 12TH AVE
POCATELLO, ID 83201-4741
Phone number: 203-232-2263
Mailing Address
-- GINA H JUDD LPC
819 N 12TH AVE
POCATELLO, ID 83201-4741
Phone number: 203-232-2263