Individual
EMILY PANTALEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 466-7443
Mailing address
1044 NORTHWEST BLVD STE F, COEUR D ALENE, ID 83814-2165
(727) 800-2332
(727) 800-2333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-40624
ID
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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