A Victors Gathering Counseling Service
NPI #1417597683 in Moscow, Idaho
Provider Information
- NPI Number
- 1417597683
- Entity Type
- Organization
- Organization Name
- A Victors Gathering Counseling Service
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 15, 2020
- Last Updated
- Dec 13, 2023
Practice Location
Authorized Official
- Name
- KRISTINE ANNETTE LOPEZ, LCSW
- Title
- THERAPIST/OWNER
- Phone
- (208) 596-4129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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