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
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 HealthMental Health

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