Bridgewater Counseling Pllc

NPI #1982056115 in Idaho Falls, Idaho

Provider Information

NPI Number: 1982056115
Entity Type: Organization
Organization Name: Bridgewater Counseling Pllc
Primary Specialty: Counselor
Enumeration Date: Jul 12, 2016
Last Updated: Jul 12, 2016

Practice Location

Address: 1075 S UTAH AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83402-3327
Phone: (208) 970-9907

Authorized Official

Name: SHEILA DABELL
Title: OWNER
Phone: (208) 970-9907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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