ANGELICA GRACE ALVAREZ TITUS
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1669061255- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2265 W BROADWAY ST, IDAHO FALLS, ID, 834022996
- Phone
- (208) 524-7400
- Fax
- (208) 524-8004
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #8331071