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Individual

EHIGIE DESTINY IGBINEWEKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-COUI

Contact information

Practice address
1369 E 16TH ST # 2, BURLEY, ID 83318-2008
(208) 878-3423
Mailing address
467 LARAMIE DR, TWIN FALLS, ID 83301-0295
(208) 909-9760

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4471166
ID

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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