Alpine Integrated Wellness

NPI #1396385845 in Ketchum, Idaho

Provider Information

NPI Number: 1396385845
Entity Type: Organization
Organization Name: Alpine Integrated Wellness
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 13, 2020
Last Updated: Jan 13, 2020

Practice Location

Address: 220 RIVER ST E
Address 2: SUITE D
City: Ketchum
State: Idaho
ZIP Code: 83340
Phone: (503) 936-0379

Authorized Official

Name: MR. DANIEL JACOB ROTHMAN, MA, LCPC
Title: EXECUTIVE DIRECTOR
Phone: (503) 936-0379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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