Individual
GARRETT CONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1321 OAKLEY AVE, BURLEY, ID 83318-1859
(208) 878-9178
Mailing address
148 W BASELINE RD, RUPERT, ID 83350-8312
(208) 670-2960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5766
ID
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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