Individual
JOSEPH ANTHONY VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
110 GRANITE RIDGE DR, SANDPOINT, ID 83864-7069
(208) 304-2260
Mailing address
110 GRANITE RIDGE DR, SANDPOINT, ID 83864-7069
(208) 788-5285
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-10043
ID
Other
Enumeration date
10/25/2018
Last updated
01/03/2024
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