Victor Kiernan Thomas Valid NPI
Individual provider · Mental Health Counselor · Chubbuck, ID
- NPI
- 1518708171
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 10431 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-06-05
- Last updated
- 2024-06-05
Practice location
4650 Hawthorne Rd Ste 3b
Chubbuck, ID 83202-2376
(208) 648-4167