MARIA MITTAG CHALFANT
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1538055843- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9169 W STATE ST STE 272, GARDEN CITY, ID, 837141733
- Phone
- (208) 508-2202
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #5271359