Candlewood Family Counseling Center, Inc.

NPI #1093911828 in Pocatello, Idaho

Provider Information

NPI Number
1093911828
Entity Type
Organization
Organization Name
Candlewood Family Counseling Center, Inc.
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jun 27, 2007
Last Updated
Feb 19, 2015

Practice Location

Address
335 N MAIN ST
State
Idaho
ZIP Code
83204-3108
Phone
(208) 478-8340

Authorized Official

Name
MS. ELLA DINGMAN, LCSW, ACSW
Title
PRESIDENT, ADMINISTRATOR
Phone
(208) 478-8340

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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