Mellow Mountain Counseling Pllc

NPI #1467171744 in Weiser, Idaho

Provider Information

NPI Number
1467171744
Entity Type
Organization
Organization Name
Mellow Mountain Counseling Pllc
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Aug 22, 2022
Last Updated
Aug 22, 2022

Practice Location

Address
824 MCCORMICK RD
City
Weiser
State
Idaho
ZIP Code
83672-5102
Phone
(208) 248-0477

Authorized Official

Name
STEPHEN R BUNNELL, LCSW
Title
OWNER
Phone
(801) 709-9447

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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