| A Chance 4 Change | |
|
459 Locust St N Ste 108 Twin Falls ID 83301-7324 | |
| (208) 944-9776 | |
| (208) 481-8489 |
| Full Name | A Chance 4 Change |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 459 Locust St N Ste 108, Twin Falls, Idaho |
| Authorized Official Name and Position | Melissa Osen (LCSW/OWNER) |
| Authorized Official Contact | 2089449776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Chance 4 Change 459 Locust St N Ste 108 Twin Falls ID 83301-7324 Ph: (208) 944-9776 | A Chance 4 Change 459 Locust St N Ste 108 Twin Falls ID 83301-7324 Ph: (208) 944-9776 |
| NPI Number | 1275093858 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 03/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275093858 | NPI | - | NPPES |
| 37121 | Other | ID | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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