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Individual

ERINN LEIGH GARDINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
353 N 4TH AVE STE 110, POCATELLO, ID 83201-6391
(208) 236-1600
(208) 236-6695
Mailing address
353 N 4TH AVE STE 110, POCATELLO, ID 83201-6391
(208) 236-1600
(208) 236-6695

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/30/2013
Last updated
09/30/2013
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