Individual
MR. LEW HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
511 W MAIN ST, MIDDLETON, ID 83644-5545
(208) 697-1915
Mailing address
2678 S STONEHEDGE DR, NAMPA, ID 83686-1215
(208) 697-1915
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 3822
ID
Other
Enumeration date
02/26/2007
Last updated
10/04/2008
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