person
Mrs. Diana L Pals, MED
Professional Counselor in Moscow, Idaho
NPI 1396762043

Diana L Pals is a Professional Counselor based in Moscow, ID and is specialized in Professional. Diana L Pals practices in Moscow, ID and has the professional credentials of MED. The NPI Number for Diana L Pals is 1396762043 and holds a License No. LCPC -167 (Idaho).

The current practice location address for Diana L Pals is 814 S Washington St, Moscow, ID and can be reached out via phone at 208-883-0619 and via fax at 208-882-4774. You can also correspond with Diana L Pals through the mailing address at 814 S WASHINGTON ST, MOSCOW, ID - 83843-3049 (mailing address contact number: 208-883-0619).

Location: 814 S Washington St, Moscow, ID, 83843-3049
person
Provider Profile Details
NPI Number
1396762043
Provider Name
Diana L Pals
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
814 S Washington St, Moscow, ID, 83843-3049
Phone Number
208-883-0619
Fax Number
208-882-4774
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
137333137335 01 ID PREMERA BLUE CROSS
000010015830 01 ID REGENCE BLUE SHIELD
Q107-5 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
814 S Washington St
City
State
Zip
83843-3049
Phone Number
208-883-0619
Fax Number
208-882-4774
person
Provider Business Mailing Address Details
Address
814 S Washington St
City
State
Zip
83843-3049
Phone Number
208-883-0619
Fax Number
208-882-4774
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC -167 (Idaho)
Definition
Definition to come...
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