Individual
CARLY ROMNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 4TH S, REXBURG, ID 83440-2319
(208) 656-4017
Mailing address
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402-2902
(208) 524-7400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6578
ID
Other
Enumeration date
08/03/2017
Last updated
03/17/2018
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