Individual
ADRIA REBEKAH PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
120 DESERT SAGE WAY, MT HOME, ID 83647-1038
(208) 587-3988
Mailing address
120 DESERT SAGE WAY, MT HOME, ID 83647-1038
(208) 587-3988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
COUI9857
ID
Other
Enumeration date
09/21/2023
Last updated
04/03/2025
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