Individual
MARIAH ROE KASHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
409 N MAIN ST, HAILEY, ID 83333-8416
(208) 928-7507
Mailing address
PO BOX 113, HAILEY, ID 83333-0041
(904) 477-2276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-7931
ID
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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