Angelica Grace Alvarez Titus

NPI #1669061255 in Chubbuck, Idaho

Provider Information

NPI Number
1669061255
Entity Type
Individual
Name
Angelica Grace Alvarez Titus
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Jan 18, 2021
Last Updated
Jan 18, 2021

Practice Location

Address
4737 S AFTON PL STE A
State
Idaho
ZIP Code
83202-2317
Phone
(208) 417-0623

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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