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Individual

DR. DAVID ALLEN INGEBRITSEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD LCPC

Contact information

Practice address
1115 B STREET, PLUMMER, ID 83851
(208) 686-1449
(208) 686-5813
Mailing address
PO BOX 388, PLUMMER, ID 83851
(208) 686-1449
(208) 686-5813

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC228
ID

Other

Enumeration date
10/19/2005
Last updated
07/08/2007
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