BONITA JOY AVERY

IDAHO FALLS, ID
NPI1780941278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: ID  LCPC-5709)
Enumeration Date2012-04-20
Last Update Date2019-02-14
Business Address
BONITA JOY AVERY BA
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number: 208-346-8866
Mailing Address
BONITA JOY AVERY BA
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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