Jo Anna Shotiveyaratana, MA, LPC

NPI #1104424191 in Pocatello, Idaho

Provider Information

NPI Number
1104424191
Entity Type
Individual
Name
Jo Anna Shotiveyaratana, MA, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MA, LPC
Enumeration Date
Oct 13, 2020
Last Updated
Jan 9, 2025

Practice Location

Address
756 ASH ST
State
Idaho
ZIP Code
83201-6104
Phone
(208) 252-5087

Specialties & Taxonomy Codes

Specialty
Counselor - SchoolSchool
Counselor - ProfessionalProfessional

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