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Jesse Altsuler
Professional Counselor in Rathdrum, Idaho
NPI 1306195128

Jesse Altsuler is a Professional Counselor based in Rathdrum, ID and is specialized in Professional. Jesse Altsuler practices in Rathdrum, ID. The NPI Number for Jesse Altsuler is 1306195128 and holds a License No. LPC-5047 (Idaho).

The current practice location address for Jesse Altsuler is 6852 W Silverado St, Rathdrum, ID and can be reached out via phone at 208-771-1466.

Location: 6852 W Silverado St, Rathdrum, ID, 83858-8192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306195128
Provider Name
Jesse Altsuler
Credential
Provider Entity Type
Individual
Gender
Male
Address
6852 W Silverado St, Rathdrum, ID, 83858-8192
Phone Number
208-771-1466
Fax Number
Provider Enumeration Date
09/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6852 W Silverado St
City
Rathdrum
State
Idaho
Zip
83858-8192
Phone Number
208-771-1466
Fax Number
person
Provider Business Mailing Address Details
Address
6852 W Silverado St
City
Rathdrum
State
Idaho
Zip
83858-8192
Phone Number
208-771-1466
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC-5047 (Idaho)
Definition
Definition to come...
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