KATIE MARIE VAN TASSELL

BOISE, ID
NPI1811381403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-5599)
Enumeration Date2015-03-23
Last Update Date2015-03-23
Business Address
-- KATIE MARIE VAN TASSELL LPC
2114 S ROOSEVELT ST
BOISE, ID 83705-3201
Phone number: 571-606-0792
Mailing Address
-- KATIE MARIE VAN TASSELL LPC
2114 S ROOSEVELT ST
BOISE, ID 83705-3201
Phone number: 571-606-0792
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