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1851859110
REBECCA CHIDESTER
IDAHO FALLS, ID
NPI
1851859110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-7222)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
REBECCA CHIDESTER LCPC
771 PARKWOOD ST.
IDAHO FALLS, ID 83401
Phone number: 719-641-9453
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Mailing Address
REBECCA CHIDESTER LCPC
246 N CURLEW DR APT 5207
AMMON, ID 83401-1441
Phone number:
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