Individual
DR. EMILY N OE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1675 CURLEW DR, AMMON, ID 83406
(208) 529-4300
(208) 529-1627
Mailing address
2755 HALLON ST, IDAHO FALLS, ID 83402-3868
(208) 529-4300
(208) 529-1627
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3229
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010152041
REGENCE BLUE SHIELD
ID
01
—
Q6561
BLUE CROSS OF IDAHO
ID
Enumeration date
09/05/2006
Last updated
07/08/2007
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