KATIE BETTENCOURT

MERIDIAN, ID
NPI1760111637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LMSW-42277)
Enumeration Date2022-06-07
Last Update Date2022-06-07
Business Address
KATIE BETTENCOURT LMSW
2068 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 208-340-1688
Mailing Address
KATIE BETTENCOURT LMSW
2068 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 208-340-1688