Idaho Psychological Resources LLC

NPI #1063918464 in Mackay, Idaho

Provider Information

NPI Number: 1063918464
Entity Type: Organization
Organization Name: Idaho Psychological Resources LLC
Primary Specialty: Social Worker
Enumeration Date: Apr 4, 2018
Last Updated: Jun 21, 2021

Practice Location

Address: 4433 BEVERLAND ROAD
City: Mackay
State: Idaho
ZIP Code: 83251
Phone: (208) 588-5770

Authorized Official

Name: ALEXIS GAMETT
Title: ADMINSTRATOR
Phone: (208) 604-5193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X	Primary

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