Whalio Doctors

NPI 1073641510

Randi Jo Korell, MSLCPC

Practitioner Professional Counselor Emmett, ID

Practice location

Address
113 N Commercial, Emmett, ID 83617
Phone
(208) 398-8473
Fax
(208) 398-8311
Mailing address
2445 W Hwy 52, Emmett, ID 83617

Registered specialties

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 359 (ID)

Registry record

NPI
1073641510
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Feb 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.