Individual
JOSEPH ROBERT SOLOSABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFTI
Contact information
Practice address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Mailing address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
COUI-7606
ID
Other
Enumeration date
03/15/2020
Last updated
03/15/2020
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