Individual
MS. MARY LOUISE MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
720 E LANDER ST, SUITE A, POCATELLO, ID 83201-6228
(208) 478-2172
(208) 478-2174
Mailing address
720 E LANDER ST, SUITE A, POCATELLO, ID 83201-6228
(208) 478-2172
(208) 478-2174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5384
ID
Other
Enumeration date
08/03/2013
Last updated
08/03/2013
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