Individual
NICOLE J JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 YELLOWSTONE AVE, POCATELLO, ID 83201-4368
(208) 339-0909
Mailing address
412 VISTA DR, POCATELLO, ID 83201-5086
(208) 220-1444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5326
ID
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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