Jeremy Royal M.A., LPC

NPI 1043527302 - Counselor - 101YM0800X

NPI Details
NPI 1043527302
Gender Male
Enumeration Date 09/08/2010
Last Updated 09/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
228 SHOUP AVE W
TWIN FALLS ID, 83301-5022, US
Phone (208) 734-6760
Fax (208) 734-6764
Business Location
228 SHOUP AVE W
TWIN FALLS ID, 83301-5022, US
Phone (208) 734-6760
Fax (208) 734-6764
Toxanomy
Taxonomy Code 101YM0800X
License State Idaho
License Number LPC-4162
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According to our database, Mr. Jeremy Royal M.A., LPC NPI is 1043527302, taxonomy code is 101YM0800X and license number is LPC-4162, license state is located at Idaho. Jeremy Royal M.A., LPC physically located at 228 Shoup Ave W, Twin Falls ID, 83301-5022. NPI Number Jeremy Royal M.A., LPC has the Individual type.

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1043527302 NPI number is provided on an as is basis without warranty of any kind. 1043527302 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy Royal M.A., LPC are for informational purposes only.