Candlewood Family Counseling Center, Inc.

NPI #1174673305 in Pocatello, Idaho

Provider Information

NPI Number
1174673305
Entity Type
Organization
Organization Name
Candlewood Family Counseling Center, Inc.
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jan 11, 2007
Last Updated
Jan 16, 2013

Practice Location

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

Authorized Official

Name
MRS. ELLA DINGMAN, LCSW
Title
ADMINSTRATOR
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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