| Chantel Lee Wallace, | |
|
581 N Ash St, Blackfoot, ID 83221-2223 | |
| (208) 973-5077 | |
| Not Available |
| Full Name | Chantel Lee Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 581 N Ash St, Blackfoot, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669234308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMSW-43731 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chantel Lee Wallace, 581 N Ash St, Blackfoot, ID 83221-2223 Ph: (208) 973-5077 | Chantel Lee Wallace, 581 N Ash St, Blackfoot, ID 83221-2223 Ph: (208) 973-5077 |
Shayna Kearn Norton, LMFT, CADC Counselor Medicare: Medicare Enrolled Practice Location: 288 N Shilling Ave, Blackfoot, ID 83221 Phone: 208-785-1047 | |
Ms. Suzanne Godfrey, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Third Floor, Blackfoot, ID 83221 Phone: 208-785-3800 Fax: 208-785-3876 | |
Kimberley Sweet, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 East Alice Street, Blackfoot, ID 83221 Phone: 208-785-5874 | |
David Scott Hurst, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 Camas St, Blackfoot, ID 83221 Phone: 208-782-0678 | |
Dallen Ray Bell, LMSW Counselor Medicare: Medicare Enrolled Practice Location: 1309 Camas St, Blackfoot, ID 83221 Phone: 208-782-0675 Fax: 208-782-0678 | |
Mrs. Kathleen S Tomazin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 W Judicial St, Blackfoot, ID 83221 Phone: 208-782-2060 Fax: 208-782-0209 | |
Ruby Lee Walker, LPCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 |