Individual
RANDALL APGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4650 HAWTHORNE RD, STE 3B, CHUBBUCK, ID 83202-2376
(208) 237-9833
(208) 237-1800
Mailing address
4650 HAWTHORNE RD, STE 3B, CHUBBUCK, ID 83202-2376
(208) 237-9833
(208) 237-1800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-5085
ID
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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