Individual
MR. ROBERT CASEY PRICE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.COUN
Contact information
Practice address
110 S 19TH AVE, POCATELLO, DC 83201
(208) 234-4722
Mailing address
110 S 19TH AVE, POCATELLO, DC 83201
(208) 234-4722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5359
ID
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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