Provider First Line Business Practice Location Address:
RADIANT CHRISTIAN COUNSELING
Provider Second Line Business Practice Location Address:
2101 N LAKEWOOD DRIVE, SUITE 222
Provider Business Practice Location Address City Name:
COEUR D'ALENE
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-274-3320
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2007