Individual
ANGELA WINCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 E 25TH ST # A, IDAHO FALLS, ID 83404-7549
(208) 543-1026
Mailing address
1004 REDWOOD ST, IDAHO FALLS, ID 83401-2946
(208) 709-2684
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4116
ID
Other
Enumeration date
08/25/2009
Last updated
07/02/2024
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