Individual
PETER PIEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
242 E 7TH N STE 4, REXBURG, ID 83440-3550
(208) 359-9683
Mailing address
242 E 7TH N STE 4, REXBURG, ID 83440-3550
(208) 359-9683
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639292626
—
ID
Enumeration date
04/29/2022
Last updated
04/29/2022
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