Individual
GAIL TAYLOR THORNGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. COUN.
Contact information
Practice address
201 E CENTER ST STE B, POCATELLO, ID 83201-6339
(208) 234-2600
Mailing address
1655 S 3RD AVE, POCATELLO, ID 83201-6840
(208) 339-3245
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3904
ID
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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