Portneuf Valley Family Center

NPI #1174629976 in Pocatello, Idaho

Provider Information

NPI Number
1174629976
Entity Type
Organization
Organization Name
Portneuf Valley Family Center
Primary Specialty
Counselor - Professional
Enumeration Date
Sep 16, 2006
Last Updated
Jun 27, 2025

Practice Location

Address
444 HOSPITAL WAY STE 477
State
Idaho
ZIP Code
83201-2744
Phone
(208) 233-7832

Authorized Official

Name
ROBERT DE WALL
Title
OWNER/ADMINISTRATOR
Phone
(208) 233-7832

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - Mental HealthMental Health
Social Worker
Psychiatry & Neurology - PsychiatryPsychiatry
Physician Assistant
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health
Counselor - ProfessionalProfessional

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