Individual
INGRID STARR BLINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
307 SAINT JOHNS WAY, SUITE 3, LEWISTON, ID 83501-2435
(208) 750-1802
(208) 750-1803
Mailing address
307 SAINT JOHNS WAY, SUITE 3, LEWISTON, ID 83501-2435
(208) 750-1802
(208) 750-1803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC 60156252
WA
101YP2500X
Professional Counselor
Primary
LPC-4580
ID
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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