Individual
JUSTICE ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
COGNITIVE RESTRUCTURING LLC, 707 NORTH 7TH AVE STE #D, POCATELLO, ID 83201-3357
(203) 242-3044
(208) 904-0494
Mailing address
1777 E CLARK ST, POCATELLO, ID 83201-3357
(208) 233-5433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-4768
ID
Other
Enumeration date
08/16/2011
Last updated
06/09/2020
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