KATHRYN BONZO LPC
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1710870985- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 213 N MAIN ST STE 1B, MOSCOW, ID, 838432700
- Phone
- (208) 683-8320
- Fax
- (208) 969-8380
Specialties & Taxonomies
Counselor, Professional
License: ID #1071470
Counselor, Mental Health
Primary License: ID #1071470