Individual
CHESTER C MARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC/NCC
Contact information
Practice address
493 EASTLAND DR., TWIN FALLS, ID 83301
(208) 732-0995
(208) 732-0993
Mailing address
P.O. BOX 47, TWIN FALLS, ID 83303
(208) 732-0995
(208) 732-0993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC4840
ID
Other
Enumeration date
10/24/2011
Last updated
01/12/2015
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