Individual
MADISON PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1001 N 7TH AVE STE 115, POCATELLO, ID 83201-5786
(208) 223-0240
Mailing address
PO BOX 2811, IDAHO FALLS, ID 83403-2811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-10475
ID
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
About Stedi
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