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Individual

DAVID ROUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC, NCC

Contact information

Practice address
211 E LOGAN ST STE 201, CALDWELL, ID 83605-4883
(208) 454-1480
(208) 268-8444
Mailing address
211 E LOGAN ST STE 201, CALDWELL, ID 83605-4883
(208) 454-1480
(208) 268-8444

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C9964
OR
101YP2500X
Professional Counselor
Primary
LCPC-8037
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083126023
ID
05
1174973374
ID
Enumeration date
06/18/2016
Last updated
11/07/2025
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