person
Angelica Grace Alvarez Titus
Professional Counselor in Chubbuck, Idaho
NPI 1669061255

Angelica Grace Alvarez Titus is a Professional Counselor based in Idaho Falls, ID and is specialized in Professional. Angelica Grace Alvarez Titus practices in Chubbuck, ID. The NPI Number for Angelica Grace Alvarez Titus is 1669061255 and holds a License No. LPC-7880 (Idaho).

The current practice location address for Angelica Grace Alvarez Titus is 4737 S Afton Pl Ste A, Chubbuck, ID and can be reached out via phone at 208-417-0623.

Location: 4737 S Afton Pl Ste A, Chubbuck, ID, 83402-5582
person
Provider Profile Details
NPI Number
1669061255
Provider Name
Angelica Grace Alvarez Titus
Credential
Provider Entity Type
Individual
Gender
Female
Address
4737 S Afton Pl Ste A, Chubbuck, ID, 83402-5582
Phone Number
208-417-0623
Fax Number
Provider Enumeration Date
01/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC-7880 05 ID
institution
Provider Business Practice Location Address Details
Address
4737 S Afton Pl Ste A
City
State
Zip
83202-2317
Phone Number
208-417-0623
Fax Number
person
Provider Business Mailing Address Details
Address
4737 S Afton Pl Ste A
City
State
Zip
83202-2317
Phone Number
208-417-0623
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-7880 (Idaho)
Definition
Definition to come...
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