North Fork Counseling Services, LLC

NPI #1730873811 in Rexburg, Idaho

Provider Information

NPI Number: 1730873811
Entity Type: Organization
Organization Name: North Fork Counseling Services, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 2, 2023
Last Updated: Jun 2, 2023

Practice Location

Address: 2691 S 2000 W
City: Rexburg
State: Idaho
ZIP Code: 83440-4049
Phone: (208) 701-9616

Authorized Official

Name: JON BURNHAM, LCSW
Title: OWNER/MANAGER
Phone: (208) 201-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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