Jonathan Roy Minkoff, LCPC

NPI #1790853927 in Caldwell, Idaho

Provider Information

NPI Number
1790853927
Entity Type
Individual
Name
Jonathan Roy Minkoff, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
LCPC
Enumeration Date
Dec 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2020 BLAINE STREET
State
Idaho
ZIP Code
83605
Phone
(208) 453-2840

Specialties & Taxonomy Codes

Specialty
Counselor

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