Individual
MR. PETER STUYVESANT HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LMFT
Contact information
Practice address
834 FALLS AVE, SUITE #1180, TWIN FALLS, ID 83301-3365
(208) 734-2168
(208) 734-5354
Mailing address
834 FALLS AVE, SUITE #1180, TWIN FALLS, ID 83301-3365
(208) 734-2168
(208) 734-5354
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-38
ID
106H00000X
Marriage & Family Therapist
LMFT-3038
ID
Other
Enumeration date
06/18/2007
Last updated
03/30/2010
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