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Individual

MICHAEL GEORGESCU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1044 NORTHWEST BLVD STE C, COEUR D ALENE, ID 83814-2114
(208) 930-1740
(208) 930-1695
Mailing address
1200 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-2660

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35360
ID

Other

Enumeration date
10/07/2016
Last updated
10/12/2023
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