Individual
DEBORAH LIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
497 RIDGE RD, MOSCOW, ID 83843-2521
(208) 310-1900
Mailing address
497 RIDGE RD, MOSCOW, ID 83843-2521
(208) 310-1900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-190
ID
101YP2500X
Professional Counselor
LCPC-190
ID
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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