Ashton Memorial, Inc.

NPI #1003907163 in Idaho Falls, Idaho

Provider Information

NPI Number: 1003907163
Entity Type: Organization
Organization Name: Ashton Memorial, Inc.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2935 ROLLANDET ST
City: Idaho Falls
State: Idaho
ZIP Code: 83402-4654
Phone: (208) 542-2905

Authorized Official

Name: SHEILA KELLOGG
Title: ADMINISTRATOR
Phone: (208) 652-7461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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