Open Trails Counseling and Consulting Pllc
NPI #1619503893 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1619503893
- Entity Type
- Organization
- Organization Name
- Open Trails Counseling and Consulting Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 19, 2020
- Last Updated
- Jul 23, 2024
Practice Location
- Address
- 2539 CHANNING WAY STE 100
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7558
- Phone
- (208) 538-3450
Authorized Official
- Name
- JOANNA L TRUSSEL BERG, LCSW
- Title
- OWNER/EXECUTIVE DIRECTOR
- Phone
- (208) 521-9946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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