Individual
BYRON H WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
5390 S. 3600 EAST, REXBURG, ID 83440-0364
(208) 356-0480
Mailing address
PO BOX 364, REXBURG, ID 83440-0364
(208) 356-0480
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-2693
ID
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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