Individual
MUNA CROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 MAIN ST, SUITE 444, LEWISTON, ID 83501-1803
(208) 750-3000
Mailing address
504 MAIN ST, SUITE 444, LEWISTON, ID 83501-1803
(208) 750-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-2908
ID
106H00000X
Marriage & Family Therapist
LF-60140407
WA
225700000X
Massage Therapist
MA-00024354
WA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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