Individual
RITA FELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
923 GRANT ST, CALDWELL, ID 83605-4137
(208) 585-3375
(208) 585-6152
Mailing address
7620 N APACHE WAY CIR, BOISE, ID 83714-1911
(208) 585-3375
(208) 585-6152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-977
ID
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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