Individual
MS. BEVERLY WEINSTEIN ROOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
807 N 2ND ST, COEUR D ALENE, ID 83814-3012
(208) 771-2779
Mailing address
807 N 2ND ST, COEUR D ALENE, ID 83814-3012
(208) 771-2779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-30735
ID
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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