Individual
MRS. AMADEA DE GROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
284 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 733-7186
Mailing address
284 MARTIN ST, TWIN FALLS, ID 83301-4542
(301) 974-9664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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