Individual
MS. GLORIA S GELEYNSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.ED., LCPC
Contact information
Practice address
136 S ACADEMY AVE, SUITE F, EAGLE, ID 83616-6541
(208) 939-1133
(208) 939-9110
Mailing address
136 S ACADEMY AVE, SUITE F, EAGLE, ID 83616-6541
(208) 939-1133
(208) 939-9110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-31
ID
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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