James Rabe Nevala, LPC Valid NPI
Individual provider · Professional Counselor · Chubbuck, ID
- NPI
- 1619015351
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LPC-4378 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-02
- Last updated
- 2009-09-22
Practice location
4460 Central Way, Suite 2
Chubbuck, ID 83202-5095
(208) 237-1711