Individual
TAMARA QUINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4543 FLORA DR, POCATELLO, ID 83204-4563
(208) 419-9424
Mailing address
4543 FLORA DR, POCATELLO, ID 83204-4563
(208) 419-9424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7658
ID
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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