Individual
MR. JOHN P CONDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., L.C.P.C.
Contact information
Practice address
1023 YELLOWSTONE AVE STE J, POCATELLO, ID 83201-4478
(208) 233-1276
(208) 233-0835
Mailing address
1023 YELLOWSTONE AVE STE J, POCATELLO, ID 83201-4478
(208) 233-1276
(208) 233-0835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-3868
ID
Other
Enumeration date
05/16/2007
Last updated
04/05/2012
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