Individual
MICHAEL DON UNRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
923 E SHERMAN AVE, SUITE 200, COEUR D ALENE, ID 83814-4938
(208) 953-1403
Mailing address
6245 N CEZANNE DR, COEUR D ALENE, ID 83815-9132
(208) 953-1403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-4965
ID
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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