Idaho State University
NPI #1811595929 in Pocatello, Idaho
Provider Information
- NPI Number
- 1811595929
- Entity Type
- Organization
- Organization Name
- Idaho State University
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IDAHO STATE UNIVERSITY
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 12, 2020
- Last Updated
- Oct 12, 2020
Practice Location
Authorized Official
- Name
- CYNTHIA LEE ROCK
- Title
- CLINICS DIRECTOR OF OPERATIONS
- Phone
- (208) 373-1743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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