KRYSTALROSE WORTHINGTON

AMMON, ID
NPI1750687992
Former NameKRYSTAL TURNER-SCHOW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-7195)
Enumeration Date2011-02-06
Last Update Date2019-02-14
Business Address
KRYSTALROSE WORTHINGTON LCPC
2705 E 17TH ST
AMMON, ID 83406
Phone number: 208-346-7500
Mailing Address
KRYSTALROSE WORTHINGTON LCPC
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-821-8688