Individual
REBECCA LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2420 AMERICAN LEGION BLVD STE 4C, MOUNTAIN HOME, ID 83647-3169
(253) 359-0368
Mailing address
2420 AMERICAN LEGION BLVD STE 4C, MOUNTAIN HOME, ID 83647-3169
(253) 359-0368
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-8777
ID
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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