Candlewood Family Counseling Center, Inc.

NPI #1588860308 in Pocatello, Idaho

Provider Information

NPI Number: 1588860308
Entity Type: Organization
Organization Name: Candlewood Family Counseling Center, Inc.
Primary Specialty: Case Management
Enumeration Date: Jun 27, 2007
Last Updated: Jan 16, 2013

Practice Location

Address: 335 N MAIN ST
City: Pocatello
State: Idaho
ZIP Code: 83204-3108
Phone: (208) 478-8340

Authorized Official

Name: MS. ELLA DINGMAN, LCSW, ACSW
Title: PRESIDENT, ADMINISTRATOR
Phone: (208) 478-8340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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