Individual
CHRISTINA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Mailing address
2712 S MIDLAND BLVD, NAMPA, ID 83686-8202
(541) 212-1396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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