Individual
GEIANNE BLICK CHOATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3646 N 900 E, CASTLEFORD, ID 83321-6456
(208) 316-0000
Mailing address
3646 N 900 E, CASTLEFORD, ID 83321-6456
(208) 316-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-3461
ID
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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