Individual
SUSAN RENE' GREENOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2192 S ALASKA WAY, MERIDIAN, ID 83642-8131
(208) 859-3422
Mailing address
2192 S ALASKA WAY, MERIDIAN, ID 83642-8131
(208) 887-1890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-3633
ID
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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