Individual provider · Type 1 NPI
Randi Jo Korell, MS LCPC
Professional Counselor · Emmett, ID
NPI number
1073641510
Active
Practice location
113 N Commercial
Emmett, ID 83617
Fax (208) 398-8311
Mailing address
2445 W Hwy 52
Emmett, ID 83617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 359 (ID) |
Professional Counselor: Definition to come...
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About NPI 1073641510
Randi Jo Korell, MS LCPC's National Provider Identifier is 1073641510, issued on Feb 28, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Emmett, ID. The record was last updated on Jul 8, 2007.