SearchIdaho1041C0700X

Cary Imeson, LCSW

NPI 1912248519 · on the registry since 2013 · sole proprietor

Practice

Address
2057 E Hidden Cove Ln
Eagle, ID 83616
Phone
(208) 724-8486

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-14

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