Individual
CASEY PUZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2235 E 25TH ST, SUITE 290, IDAHO FALLS, ID 83404-7519
(208) 201-5876
Mailing address
2235 E 25TH ST, SUITE 290, IDAHO FALLS, ID 83404-7519
(208) 201-5876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-3231
ID
Other
Enumeration date
11/13/2006
Last updated
02/20/2008
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