Individual
JANET FRAKES POORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC 1
Contact information
Practice address
2205 N IRONWOOD PL STE A, COEUR D ALENE, ID 83814-2487
(208) 664-8347
(208) 664-9217
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5038794389
ID
101YP2500X
Professional Counselor
Primary
LPC-7844
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
489558269
US PASSPORT
CA
Enumeration date
11/01/2019
Last updated
08/03/2021
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