Individual
ITZEL MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3442 S. 15TH E., IDAHO FALLS, ID 83404
(208) 552-1222
Mailing address
3442 S. 15TH E., IDAHO FALLS, ID 83404
(208) 552-1222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-34360
ID
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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