SearchIdahoMarriage & Family Therapist

Glen Drake, MA

NPI 1790815876 · on the registry since 2007 · sole proprietor

Practice

Address
15050 E Sunset Shores Cir
Harrison, ID 83833
Phone
(559) 731-3727

Registry record

Primary taxonomy
Marriage & Family Therapist
106H00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho