Individual
PARIS CONWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4799 RIVER RD, BUHL, ID 83316-5104
(208) 734-0407
Mailing address
5250 IROQUOIS CT, CLARKSTON, MI 48348-3012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7761873
ID
101YM0800X
Mental Health Counselor
Primary
COUI-7761873
ID
Other
Enumeration date
10/18/2024
Last updated
04/21/2026
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