Peregrine Corp, PC
NPI #1093040917 in Priest River, Idaho
Provider Information
- NPI Number
- 1093040917
- Entity Type
- Organization
- Organization Name
- Peregrine Corp, PC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 9, 2009
- Last Updated
- Sep 25, 2013
Practice Location
- Address
- 37 HIGHWAY 57
- City
- Priest River
- State
- Idaho
- ZIP Code
- 83856-6559
- Phone
- (208) 448-4855
Authorized Official
- Name
- MS. DORLEA ANN KNIZLEY, LPC
- Title
- BOARD PRESIDENT
- Phone
- (208) 448-4855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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