IFEREIMI TABAKECE

POCATELLO, ID
NPI1851040125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LMSW-40647)
Enumeration Date2022-03-22
Last Update Date2022-03-22
Business Address
IFEREIMI TABAKECE LMSW
109 N ARTHUR AVE STE 203
POCATELLO, ID 83204-3105
Phone number: 208-234-4673
Mailing Address
IFEREIMI TABAKECE LMSW
109 N ARTHUR AVE STE 203
POCATELLO, ID 83204-3105
Phone number: 208-234-4673