Individual
MAREN BERRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
534 TREJO ST STE 200F, REXBURG, ID 83440-5429
(208) 499-4517
Mailing address
449 W 7TH S, SAINT ANTHONY, ID 83445-1906
(801) 471-5128
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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