Individual
RACHEL LAUREN TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
101 S PARK AVE STE 206, IDAHO FALLS, ID 83402-3669
(208) 360-4923
Mailing address
101 S PARK AVE STE 206, IDAHO FALLS, ID 83402-3669
(208) 360-4923
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9850
ID
Other
Enumeration date
07/17/2020
Last updated
02/04/2025
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