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Krystalrose Worthington, LCPC
Mental Health Counselor in Ammon, Idaho
NPI 1750687992

Krystalrose Worthington is a Mental Health Counselor based in Ammon, ID and is specialized in Mental Health. Krystalrose Worthington practices in Ammon, ID and has the professional credentials of LCPC. The NPI Number for Krystalrose Worthington is 1750687992 and holds a License No. LCPC-7195 (Idaho).

The current practice location address for Krystalrose Worthington is 2705 E 17Th St, Ammon, ID and can be reached out via phone at 208-346-7500. You can also correspond with Krystalrose Worthington through the mailing address at 2705 E 17TH ST, AMMON, ID - 83406-6601 (mailing address contact number: 208-821-8688).

Location: 2705 E 17Th St, Ammon, ID, 83406-6601
person
Provider Profile Details
NPI Number
1750687992
Provider Name
Krystalrose Worthington
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
2705 E 17Th St, Ammon, ID, 83406-6601
Phone Number
208-346-7500
Fax Number
Provider Enumeration Date
02/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2705 E 17Th St
City
State
Zip
83406
Phone Number
208-346-7500
Fax Number
person
Provider Business Mailing Address Details
Address
2705 E 17Th St
City
State
Zip
83406
Phone Number
208-346-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-7195 (Idaho)
Definition
Definition to come...
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