Individual
REBECCA SCHREIBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 S KIMBALL AVE STE 201, CALDWELL, ID 83605-5196
(208) 899-8101
Mailing address
294 W TROPHY ST, KUNA, ID 83634-3310
(208) 936-1202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-7479
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-7479
IDAHO BOARD OF OCCUPATIONAL LICENSES
ID
Enumeration date
11/25/2019
Last updated
07/27/2020
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