Individual
MS. PEGGY KNODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2007 E QUAIL RUN RD STE 1, EMMETT, ID 83617-5059
(208) 365-5445
(208) 365-6226
Mailing address
2007 E QUAIL RUN RD STE 1, EMMETT, ID 83617-5059
(208) 365-5445
(208) 365-6226
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT6491
ID
106H00000X
Marriage & Family Therapist
MFT24676
CA
Other
Enumeration date
10/24/2005
Last updated
04/18/2022
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