Individual
CREED SIMON WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
30 S 2ND W, REXBURG, ID 83440
(208) 709-7248
(208) 496-5127
Mailing address
30 S 2ND W, REXBURG, ID 83440
(208) 709-7248
(208) 496-5127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC #3276
ID
Other
Enumeration date
07/25/2013
Last updated
06/11/2018
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