MR. Lew House, LCPC

NPI #1558497487 in Middleton, Idaho

Provider Information

NPI Number: 1558497487
Entity Type: Individual
Name: MR. Lew House, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Feb 26, 2007
Last Updated: Oct 4, 2008

Practice Location

Address: 511 W MAIN ST
City: Middleton
State: Idaho
ZIP Code: 83644-5545
Phone: (208) 697-1915

Specialties & Taxonomy Codes

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

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