Individual
MR. ERICH JOSEPH LONGPRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2243 E REMINGTON RD, ATHOL, ID 83801-8529
(208) 304-3485
Mailing address
2243 E REMINGTON RD, ATHOL, ID 83801-8529
(208) 660-2995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2961173
ID
101Y00000X
Counselor
CG60819606
WA
Other
Enumeration date
11/09/2018
Last updated
12/09/2024
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