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Issaura Potter, Llc
Mental Health Counselor in Garden City, Idaho
NPI 1235837709

Issaura Potter, Llc is a Mental Health Counselor based in Boise, ID and is specialized in Mental Health. Issaura Potter, Llc practices in Garden City, ID. The NPI Number for Issaura Potter, Llc is 1235837709 and holds a License No. (Idaho).

The current practice location address for Issaura Potter, Llc is 175 E 50Th St, Garden City, ID and can be reached out via phone at 208-204-0451.

Location: 175 E 50Th St, Garden City, ID, 83706-4492
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235837709
Provider Name
Issaura Potter, Llc
Credential
Provider Entity Type
Organization
Address
175 E 50Th St, Garden City, ID, 83706-4492
Phone Number
208-204-0451
Fax Number
Provider Enumeration Date
02/23/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
175 E 50Th St
City
Garden City
State
Idaho
Zip
83714-1413
Phone Number
208-204-0451
Fax Number
person
Provider Business Mailing Address Details
Address
175 E 50Th St
City
Garden City
State
Idaho
Zip
83714-1413
Phone Number
208-204-0451
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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