Individual
DR. MARCUS ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
325 W 3RD ST, MOSCOW, ID 83843-2204
(208) 882-2566
Mailing address
325 W 3RD ST, MOSCOW, ID 83843-2204
(208) 882-2566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
COUI-8266
ID
Other
Enumeration date
01/20/2017
Last updated
10/10/2023
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