Counseling & Treatment Center of Idaho

NPI #1336885136 in Rexburg, Idaho

Provider Information

NPI Number
1336885136
Entity Type
Organization
Organization Name
Counseling & Treatment Center of Idaho
Primary Specialty
Social Worker - Clinical
Enumeration Date
May 5, 2022
Last Updated
May 5, 2022

Practice Location

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

Authorized Official

Name
ERIC FERNELIUS, LCSW
Title
OWNER
Phone
(801) 510-4750

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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