Kathleen S Tomazin LCPC

NPI 1194942185 - Counselor - 101YP2500X

NPI Details
NPI 1194942185
Gender Female
Enumeration Date 04/19/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
90 W JUDICIAL ST
BLACKFOOT ID, 83221-2715, US
Phone (208) 782-2060
Fax (208) 782-0209
Business Location
90 W JUDICIAL ST
BLACKFOOT ID, 83221-2715, US
Phone (208) 782-2060
Fax (208) 782-0209
Toxanomy
Taxonomy Code 101YP2500X
License State Idaho
License Number LCPC 332
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According to our database, Mrs. Kathleen S Tomazin LCPC NPI is 1194942185, taxonomy code is 101YP2500X and license number is LCPC 332, license state is located at Idaho. Kathleen S Tomazin LCPC physically located at 90 W Judicial St, Blackfoot ID, 83221-2715. NPI Number Kathleen S Tomazin LCPC has the Individual type.

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1194942185 NPI number is provided on an as is basis without warranty of any kind. 1194942185 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen S Tomazin LCPC are for informational purposes only.