Individual
KAREN L MIETZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
284 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 733-7186
Mailing address
PO BOX 603, BUHL, ID 83316-0603
(208) 404-6197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4654
ID
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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