Most Relevant Information
Provider Data
NPI Number: | 1003583659 |
Provider Name: | CHRISTINA STRAUCH SE |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | SE-202910 |
Most Important Dates
Enumeration Date: | 08/23/2021 |
Last Updated: | 08/23/2021 |
Provider Practice Location
1246 YELLOWSTONE AVE STE C5
POCATELLO
ID
832014373
Practice Location Phone/Fax
Phone: | 2082330150 |
Fax: | 2082330159 |
Provider Mailing Location
1246 YELLOWSTONE AVE STE C5
POCATELLO
ID
832014373
Provider Mailing Phone/Fax
Phone: | 2082330150 |
Fax: | 2082330159 |