Peter Wollheim LPC

NPI 1023366150 - Counselor - 101YM0800X

NPI Details
NPI 1023366150
Gender Male
Enumeration Date 08/21/2012
Last Updated 08/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
7953 W MOSSY CUP ST
BOISE ID, 83709-2850, US
Phone (208) 921-2027
Fax
Business Location
7953 WEST MOSSY CUP STREET
BOISE ID, 83709, US
Phone (208) 921-2027
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Idaho
License Number LPC 5013
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According to our database, Mr. Peter Wollheim LPC NPI is 1023366150, taxonomy code is 101YM0800X and license number is LPC 5013, license state is located at Idaho. Peter Wollheim LPC physically located at 7953 W Mossy Cup St, Boise ID, 83709-2850. NPI Number Peter Wollheim LPC has the Individual type.

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1023366150 NPI number is provided on an as is basis without warranty of any kind. 1023366150 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Wollheim LPC are for informational purposes only.