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Individual

OLIVIA THERESA NGADJUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
444 HOSPITAL WAY STE 477, POCATELLO, ID 83201-2744
(208) 233-7832
Mailing address
444 HOSPITAL WAY STE 477, POCATELLO, ID 83201-2744
(208) 233-7832

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7445
ID

Other

Enumeration date
08/06/2019
Last updated
08/06/2019
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