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Individual

JUSTIN ESPLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3567 JILL ST, AMMON, ID 83401-4606
(208) 881-7629
Mailing address
3567 JILL ST, AMMON, ID 83401-4606
(208) 881-7629

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-33298
ID

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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