Individual
JAMES RABE NEVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4460 CENTRAL WAY, SUITE 2, CHUBBUCK, ID 83202-5095
(208) 237-1711
Mailing address
2604 BIRDIE THOMPSON DR, POCATELLO, ID 83201-2741
(208) 269-0679
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4378
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807197600
—
ID
Enumeration date
02/02/2007
Last updated
09/22/2009
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