Individual
THERESA HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 S COLLEGE ST APT 4, GRANGEVILLE, ID 83530-2039
(208) 983-0235
Mailing address
309 S COLLEGE ST APT 4, GRANGEVILLE, ID 83530-2039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 5033
ID
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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