Individual
DR. LORRAINE GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
850 E CENTER ST, SUITE A, POCATELLO, ID 83201-5737
(208) 233-1675
(208) 234-3660
Mailing address
850 E. CENTER, SUITE A, POCATELLO, ID 83201
(208) 233-1675
(208) 234-3660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37
ID
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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