Individual
PENELOPE DILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7600 N MINERAL DR STE 300, COEUR D ALENE, ID 83815-7763
(208) 274-3105
Mailing address
PO BOX 2822, HAYDEN, ID 83835-2822
(208) 818-9314
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-8620
ID
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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