Individual
ASHLEY VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1352 E CENTER ST STE A, POCATELLO, ID 83201-4773
(208) 233-2025
(208) 233-2178
Mailing address
PO BOX 4789, POCATELLO, ID 83205-4789
(208) 233-2025
(208) 233-2178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5925
ID
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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