Individual
JOAN MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
409 N MAIN ST, HAILEY, ID 83333-8416
(208) 928-7507
Mailing address
PO BOX 893, HAILEY, ID 83333-0841
(208) 309-1261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-7314
ID
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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