Counseling Center of Southeast Idaho
NPI #1639116627 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1639116627
- Entity Type
- Organization
- Organization Name
- Counseling Center of Southeast Idaho
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- May 31, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 496 A ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3617
- Phone
- (208) 552-7100
Authorized Official
- Name
- MRS. KATHY A TAYLOR, LCPC
- Title
- OWNER
- Phone
- (208) 552-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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