Krisanne Edgcomb

NPI #1316352537 in Sandpoint, Idaho

Provider Information

NPI Number: 1316352537
Entity Type: Individual
Name: Krisanne Edgcomb
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 26, 2014
Last Updated: Jun 26, 2014

Practice Location

Address: 229 WILLIES WAY
City: Sandpoint
State: Idaho
ZIP Code: 83864-6145
Phone: (208) 290-4428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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