Chester C Mardis, LPC/NCC

NPI #1114203031 in Twin Falls, Idaho

Provider Information

NPI Number
1114203031
Entity Type
Individual
Name
Chester C Mardis, LPC/NCC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LPC/NCC
Enumeration Date
Oct 24, 2011
Last Updated
Jan 12, 2015

Practice Location

Address
493 EASTLAND DR.
State
Idaho
ZIP Code
83301
Phone
(208) 732-0995

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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