Individual
RICHARD PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2425 E 500 N, SAINT ANTHONY, ID 83445-5720
(208) 705-7414
Mailing address
2425 E 500 N, SAINT ANTHONY, ID 83445-5720
(208) 705-7414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4497
ID
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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