Eric Scott Fernelius, LCSW

NPI #1154545093 in Rexburg, Idaho

Provider Information

NPI Number: 1154545093
Entity Type: Individual
Name: Eric Scott Fernelius, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 12, 2007
Last Updated: May 5, 2022

Practice Location

Address: 339 E 7TH N
City: Rexburg
State: Idaho
ZIP Code: 83440-5124
Phone: (801) 510-4750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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