Individual
MR. MARTIN MICHAEL CUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, NCC
Contact information
Practice address
7275 W POTOMAC DR, SUITE B, BOISE, ID 83704-9150
(208) 994-1223
Mailing address
7275 W POTOMAC DR, SUITE B, BOISE, ID 83704-9150
(208) 994-1223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-3924
ID
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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