Wolverine Canyon Counseling, LLC

NPI #1396447231 in Shelley, Idaho

Provider Information

NPI Number: 1396447231
Entity Type: Organization
Organization Name: Wolverine Canyon Counseling, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 21, 2023
Last Updated: Mar 21, 2023

Practice Location

Address: 1434 N 615 E
City: Shelley
State: Idaho
ZIP Code: 83274-5077
Phone: (208) 520-1502

Authorized Official

Name: MR. DALLEN RAY BELL, LCSW
Title: OWNER
Phone: (208) 520-1502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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