DESTINEE JO BLAMIRES LPC
Individual Provider (NPI-1)
Active
Counselor
Provider Information
- NPI Number
1245735422- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 540 S 16TH ST STE 118, PAYETTE, ID, 836613514
- Phone
- (208) 546-2406
Specialties & Taxonomies
Counselor, Mental Health
License: ID #LPC-6728
Counselor
Primary License: ID #LPC-6728