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JULIA KATHERINE DURAN LMLP

Individual Provider (NPI-1) Active

Psychologist

Provider Information

NPI Number
1508512716
Provider Type
Individual Provider (NPI-1)
Credentials
LMLP
Status
Active

Contact & Location

Address
500 S 11TH AVE STE 400, POCATELLO, ID, 83201
Phone
(208) 232-7862

Specialties & Taxonomies

Psychologist, Clinical License: KS #03113
Psychologist Primary License: ID #4961369

All Addresses

LOCATION

500 S 11TH AVE STE 400

POCATELLO, ID, 83201

(208) 232-7862

MAILING

500 S 11TH AVE STE 400

POCATELLO, ID, 83201

(208) 232-7862