Individual
CRISTY LYNN SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
501 N 16TH ST STE 111, PAYETTE, ID 83661-2782
(208) 642-6160
Mailing address
501 N 16TH ST STE 111, PAYETTE, ID 83661-2782
(208) 642-6160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
36802
ID
104100000X
Social Worker
Primary
36802
ID
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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