Defunkify Counseling & Consultation, LLC

NPI #1306411376 in Meridian, Idaho

Provider Information

NPI Number
1306411376
Entity Type
Organization
Organization Name
Defunkify Counseling & Consultation, LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
May 23, 2021
Last Updated
May 23, 2021

Practice Location

Address
3484 N BRYCE CANYON PL
State
Idaho
ZIP Code
83646-6061
Phone
(208) 971-1054

Authorized Official

Name
MR. TONCH JAKOVAC
Title
EXECUTIVE DIRECTOR/OWNER
Phone
(208) 971-1053

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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