Individual
ALEXANDRIA CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
409 S 3RD ST, A, MCCALL, ID 83638-5000
(208) 634-2962
(208) 634-5064
Mailing address
PO BOX 1790, MCCALL, ID 83638
(208) 866-1261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4532
ID
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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