Individual
HALEY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 N LAKEWOOD DR STE 225, COEUR D ALENE, ID 83814-2473
(775) 224-4996
Mailing address
2101 N LAKEWOOD DR STE 225, COEUR D ALENE, ID 83814-2473
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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