Individual
SOPHIA TSAI MALMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
530 S ASBURY ST STE 2, MOSCOW, ID 83843-2243
(208) 882-2566
Mailing address
1035 ALTURAS DR, MOSCOW, ID 83843-6013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6370
ID
Other
Enumeration date
12/07/2017
Last updated
01/02/2018
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