Individual
JOEL BUXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2635 CHANNING WAY, SUITE B, IDAHO FALLS, ID 83404-7518
(208) 552-0490
(208) 552-2518
Mailing address
PO BOX 2651, IDAHO FALLS, ID 83403-2651
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-2661
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q7420
BLUE CROSS OF IDAHO
ID
Enumeration date
11/02/2006
Last updated
11/04/2014
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