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Individual

CRYSTAL ROSENDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3062 N FIVE MILE RD, BOISE, ID 83713-5215
(208) 376-4999
(208) 376-4988
Mailing address
3076 N FIVE MILE RD, BOISE, ID 83713-5215
(208) 376-4999
(208) 376-4988

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC4782
ID

Other

Enumeration date
11/09/2016
Last updated
11/09/2016
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