Individual
MISS FALLON COLE HORROCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
304 N STATE ST, GRANGEVILLE, ID 83530-1769
(208) 983-0235
Mailing address
304 N STATE ST, GRANGEVILLE, ID 83530-1769
(208) 983-0235
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9055
ID
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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