Individual
MICHELE JOANN OSMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
421 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 234-7917
(208) 236-6328
Mailing address
421 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 234-7917
(208) 236-6328
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3303
ID
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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