Individual
THOMAS ALLEN KANTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
855 N CAPITAL AVE STE 2, IDAHO FALLS, ID 83402-3405
(208) 552-0855
(208) 523-1132
Mailing address
2299 ORANGE LOOP, IDAHO FALLS, ID 83404-1231
(208) 541-8730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-7684
ID
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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