Healthy Place Counseling Pocatello LLC

NPI #1154464394 in Pocatello, Idaho

Provider Information

NPI Number
1154464394
Entity Type
Organization
Organization Name
Healthy Place Counseling Pocatello LLC
Primary Specialty
Counselor
Enumeration Date
Feb 15, 2007
Last Updated
Feb 26, 2016

Practice Location

Address
1023 YELLOWSTONE AVE
Address 2
STE. J
State
Idaho
ZIP Code
83201-4478
Phone
(208) 233-1276

Authorized Official

Name
KIRK KORENKE
Title
OWNER
Phone
(208) 200-4818

Specialties & Taxonomy Codes

Specialty
Counselor

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