Individual
CHRISTINE COLLAER-MUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
120 S 12TH AVE STE 4, POCATELLO, ID 83201-4814
(208) 709-0536
Mailing address
1448 E CENTER ST, STE A1, POCATELLO, ID 83201-4132
(208) 220-6891
(208) 232-8001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-4246
ID
101YP2500X
Professional Counselor
—
ID
Other
Enumeration date
05/14/2012
Last updated
10/11/2023
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