Jesse Altsuler

NPI #1306195128 in Rathdrum, Idaho

Provider Information

NPI Number: 1306195128
Entity Type: Individual
Name: Jesse Altsuler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 7, 2012
Last Updated: Sep 7, 2012

Practice Location

Address: 6852 W SILVERADO ST
City: Rathdrum
State: Idaho
ZIP Code: 83858-8192
Phone: (208) 771-1466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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