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Individual

MR. TRENTON WILLIAM DELVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
8152 NORTH WAYNE DRIVE, HAYDEN, ID 83835
(208) 691-4687
Mailing address
1111 RICHARDSON AVE, LEWISTON, ID 83501-5526
(208) 848-6626

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-10552
ID
101YP2500X
Professional Counselor
Primary
LPC-10552
ID

Other

Enumeration date
05/31/2024
Last updated
05/31/2024
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