Individual
AMY LYNNETTE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 W CANFIELD AVE STE 300, COEUR D ALENE, ID 83815-7953
(208) 290-8207
Mailing address
560 W CANFIELD AVE STE 300, COEUR D ALENE, ID 83815-7953
(208) 290-8207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6471645
ID
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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