Individual
ANANDA MARIE LETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2705 E 17TH ST, AMMON, ID 83406-6669
(208) 346-7500
(208) 346-7501
Mailing address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 346-7500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8331275
ID
Other
Enumeration date
10/06/2021
Last updated
05/16/2025
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