Individual
MR. JONATHAN ALAN MUIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
550 W SUNNYSIDE RD, IDAHO FALLS, ID 83402-4619
(208) 529-5777
Mailing address
4379 BOONER ST, IDAHO FALLS, ID 83401-6517
(208) 206-4245
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-9544
ID
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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