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
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 - ClinicalClinical

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