JONATHAN ROY MINKOFF

CALDWELL, ID
NPI1790853927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LCPC-126)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
-- JONATHAN ROY MINKOFF LCPC
2020 BLAINE STREET
CALDWELL, ID 83605
Phone number: 208-453-2840
Mailing Address
-- JONATHAN ROY MINKOFF LCPC
11648 EVA LANE
CALDWELL, ID 83607-9716
Phone number: 208-453-2840
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