Individual
CHRISTINE LEDBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S MAIN ST, SODA SPRINGS, ID 83276-5215
(208) 221-1196
Mailing address
1486 HAWKER EXT, SODA SPRINGS, ID 83276-5666
(208) 221-1196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-5126
ID
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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