Individual
ROBERT NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
232 2ND ST S, NAMPA, ID 83651-3709
(208) 453-8915
Mailing address
1516 S MANITOU AVE, BOISE, ID 83706-3541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5631
ID
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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