person
Jo Anna Shotiveyaratana, MA,LPC
School Counselor in Pocatello, Idaho
NPI 1104424191

Jo Anna Shotiveyaratana is a School Counselor based in Pocatello, ID and is specialized in School. Jo Anna Shotiveyaratana practices in Pocatello, ID and has the professional credentials of MA,LPC. The NPI Number for Jo Anna Shotiveyaratana is 1104424191 and holds a License No. LPC-7837 (Idaho).

The current practice location address for Jo Anna Shotiveyaratana is 707 W Wyeth St, Pocatello, ID and can be reached out via phone at 208-240-3799. You can also correspond with Jo Anna Shotiveyaratana through the mailing address at 707 W WYETH ST, POCATELLO, ID - 83204-3058 (mailing address contact number: 208-240-3799).

Location: 707 W Wyeth St, Pocatello, ID, 83204-3058
person
Provider Profile Details
NPI Number
1104424191
Provider Name
Jo Anna Shotiveyaratana
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
707 W Wyeth St, Pocatello, ID, 83204-3058
Phone Number
208-240-3799
Fax Number
Provider Enumeration Date
10/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 W Wyeth St
City
State
Zip
83204-3058
Phone Number
208-240-3799
Fax Number
person
Provider Business Mailing Address Details
Address
707 W Wyeth St
City
State
Zip
83204-3058
Phone Number
208-240-3799
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
LPC-7837 (Idaho)
Definition
Definition to come...
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