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Individual

EVE HEART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, DE

Contact information

Practice address
35 WILDCAT WAY, KELLOGG, ID 83837-2261
(208) 784-1353
(208) 784-1356
Mailing address
122 GOLD AVE, KELLOGG, ID 83837-2623
(208) 784-1353
(208) 784-1356

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-3083
ID

Other

Enumeration date
05/19/2016
Last updated
05/19/2016
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