Individual
ANGELINA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3071 E FRANKLIN RD # 201, MERIDIAN, ID 83642-2376
(208) 807-2877
Mailing address
11665 W RAUL ST, BOISE, ID 83709-7387
(530) 228-5065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9569
ID
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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