Gateway Counseling, INC

NPI #1922392869 in Pocatello, Idaho

Provider Information

NPI Number: 1922392869
Entity Type: Organization
Organization Name: Gateway Counseling, INC
Primary Specialty: Social Worker
Enumeration Date: Jun 8, 2011
Last Updated: Aug 24, 2011

Practice Location

Address: 427 N MAIN ST
Address 2: SUITE 101
City: Pocatello
State: Idaho
ZIP Code: 83204-3016
Phone: (208) 242-3771

Authorized Official

Name: MR. COREY LYNN RICHARDSON, LCSW
Title: OPERATIONS DIRECTOR
Phone: (208) 242-3771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X	Primary

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