Individual
BETHANY S COLAPRETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
212 RODEO DR, SUITE 410, MOSCOW, ID 83843-9798
(208) 882-5960
Mailing address
1984 BROWN RD, LENORE, ID 83541-5095
(208) 431-9119
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5059
ID
Other
Enumeration date
03/03/2013
Last updated
03/03/2013
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