MRS. Bethena (beth) Loree Boettcher, L.C.P.C.

NPI #1326360942 in Idaho Falls, Idaho

Provider Information

NPI Number: 1326360942
Entity Type: Individual
Name: MRS. Bethena (beth) Loree Boettcher, L.C.P.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: L.C.P.C.
Enumeration Date: Feb 23, 2010
Last Updated: Feb 1, 2017

Practice Location

Address: 1904 JENNIE LEE DR.
City: Idaho Falls
State: Idaho
ZIP Code: 83404
Phone: (208) 523-1558

Specialties & Taxonomy Codes

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

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