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1811204191
LARRY ALAN TERHERST
LEWISTON, ID
NPI
1811204191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LCPC-374)
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
-- LARRY ALAN TERHERST MS, LCPC
1702 16TH AVE
LEWISTON, ID 83501-4023
Phone number: 208-816-6979
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Mailing Address
-- LARRY ALAN TERHERST MS, LCPC
PO BOX 1848
LEWISTON, ID 83501-1463
Phone number: 208-816-6979
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