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Individual

BEVERLEY AVRIL BELLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2988 S LOCUST GROVE RD, KUNA, ID 83634-2428
(208) 901-8729
Mailing address
2988 S LOCUST GROVE RD, KUNA, ID 83634-2428
(208) 901-8729

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-6814
ID

Other

Enumeration date
09/17/2015
Last updated
10/05/2024
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