Gateway Counseling, INC

NPI #1427342351 in Pocatello, Idaho

Provider Information

NPI Number
1427342351
Entity Type
Organization
Organization Name
Gateway Counseling, INC
Primary Specialty
Case Management
Enumeration Date
Jun 8, 2011
Last Updated
Aug 24, 2011

Practice Location

Address
427 N MAIN ST
Address 2
SUITE 101
State
Idaho
ZIP Code
83204-3016
Phone
(208) 242-3771

Authorized Official

Name
MR. COREY LYNN RICHARDSON, LCSW
Title
OPERATIONS DIRECTOR
Phone
(208) 242-3771

Specialties & Taxonomy Codes

Specialty
Case Management

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