Individual
TAMRA MAE KRUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
708 SUPERIOR ST STE B, SANDPOINT, ID 83864-1633
(208) 265-3579
(208) 263-2576
Mailing address
708 SUPERIOR ST STE B, SANDPOINT, ID 83864-1633
(208) 265-3579
(208) 263-2576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
09/10/2013
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