WELL ROOTED INTEGRATIVE THERAPY PLLC
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1750243002- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1191 E IRON EAGLE DR STE 100, EAGLE, ID, 836165139
- Phone
- (208) 314-8655
Specialties & Taxonomies
Psychologist, Clinical
Primary
All Addresses
MAILING
3770 E AMITY AVE UNIT 105
NAMPA, ID, 836871194