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Individual

ASHLIE GAIL UNRUH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
923 E SHERMAN AVE, SUITE 200, COEUR D ALENE, ID 83814-4938
(208) 953-1403
Mailing address
6245 N CEZANNE DR, COEUR D ALENE, ID 83815-9132
(208) 953-1403

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-4964
ID

Other

Enumeration date
07/13/2012
Last updated
07/13/2012
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