Individual
JOHN ALAN INMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
409 N MAIN ST, HAILEY, ID 83333-8416
(208) 928-7507
Mailing address
409 N MAIN ST, HAILEY, ID 83333-8416
(208) 928-7507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-42311
ID
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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