Individual
JULIA KATHERINE DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
500 S 11TH AVE, STE 400, POCATELLO, ID 83201
(208) 232-7862
Mailing address
500 S 11TH AVE, STE 400, POCATELLO, ID 83201
(208) 232-7862
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4961369
ID
103TC0700X
Clinical Psychologist
03113
KS
Other
Enumeration date
02/25/2022
Last updated
10/08/2024
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