Individual
TONYA MARIE AMOUR-PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
427 12TH ST, PLUMMER, ID 83851-4000
(208) 686-1931
Mailing address
PO BOX 388, PLUMMER, ID 83851-0388
(208) 686-1931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
38735
ID
101YM0800X
Mental Health Counselor
38735
ID
104100000X
Social Worker
Primary
38735
ID
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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