1629157797

Everything you always wanted to know about BUXTON JOEL LMFT but were afraid to ask.

BUXTON JOEL LMFT

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Provider Last Name Provider First Name Provider Credential
BUXTON JOEL LMFT
Gender:
Male
Enumeration date:
2006-11-02
Last update date:
2014-11-04
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
Q7420 Other BLUE CROSS OF IDAHO ID

Taxonomies

Taxonomy State License Number Primary?
106H00000X Marriage & Family Therapist ID LMFT-2661 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2085252090
Mailing Address Fax Number 2085238978
Practice Location Address Fax Number 2085522518
Practice Location Address Telephone Number 2085520490

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 2651 SUITE B IDAHO FALLS ID 83403 ID
Practice Location Address 2635 CHANNING WAY IDAHO FALLS ID 83404 ID

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