specializing in counselor in Blackfoot, Idaho

NPI: 1518170968

Provider Type

2

Practice Locations

Mailing Location

PO BOX 4908

POCATELLO, ID 83205

📞 2082337832

Practice Location

725 JENSEN GROVE DR

SUITE 5

BLACKFOOT, ID 83221

📞 2082337832

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:5/8/2007
Last Updated:8/22/2020

Credentials

Primary Credential: