Individual
MR. SCOTT URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
190 W. MAIN STREET, KUNA, ID 83634-0900
(208) 922-9001
(208) 922-3778
Mailing address
PO BOX 959, KUNA, ID 83634-0900
(208) 922-9001
(208) 922-3778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5682
ID
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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