Individual
MRS. SAVANAH SHAE PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
425 MINDY DR, CHUBBUCK, ID 83202-2263
(208) 339-0368
Mailing address
1309 CAMAS ST, BLACKFOOT, ID 83221-3060
(208) 782-0675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-8623
ID
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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