Individual
LARRY ALAN TERHERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCPC
Contact information
Practice address
1702 16TH AVE, LEWISTON, ID 83501-4023
(208) 816-6979
Mailing address
PO BOX 1848, LEWISTON, ID 83501-1463
(208) 816-6979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-374
ID
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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