Individual
ANGELA MARIE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1200 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-2660
(208) 667-2979
(208) 667-3569
Mailing address
1200 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-2660
(208) 667-2979
(208) 667-3569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
703250
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
AP-04-04-10-10
OR
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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