KRYSTALROSE WORTHINGTON, LCPC
Counselor - Mental Health
Active
Individual
NPI: 1750687992
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | LCPC-7195 (ID) |
Frequently Asked Questions
NPI 1750687992 is the National Provider Identifier for KRYSTALROSE WORTHINGTON, LCPC, a Counselor - Mental Health provider located in Ammon, ID. This NPI was enumerated on February 6, 2011.
KRYSTALROSE WORTHINGTON, LCPC practices at 2705 E 17TH ST, Ammon, ID 83406.
Quick Facts
- NPI
- 1750687992
- Type
- Individual
- Enumerated
- Feb 6, 2011
- Last Updated
- Feb 14, 2019
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