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 |