Lc-Advanced Health & Wellness

NPI #1467268953 in Lewiston, Idaho

Provider Information

NPI Number
1467268953
Entity Type
Organization
Organization Name
Lc-Advanced Health & Wellness
Primary Specialty
Psychologist
Enumeration Date
Dec 9, 2024
Last Updated
Dec 9, 2024

Practice Location

Address
1428 G ST
State
Idaho
ZIP Code
83501-2031
Phone
(208) 848-4140

Authorized Official

Name
MR. ANTHONY BRIAN TENNY, MSW, CADC
Title
OWNER
Phone
(208) 816-0015

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Psychologist

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