Individual
ANGELICA GRACE ALVAREZ TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
(208) 524-8004
Mailing address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
(208) 524-8004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8331071
ID
101YP2500X
Professional Counselor
Primary
LPC-7880
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LPC-7880
—
ID
Enumeration date
01/18/2021
Last updated
02/21/2026
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