| Antler And Moss Counseling Llc | |
|
756 Ash St Pocatello ID 83201-6104 | |
| (208) 252-5087 | |
| Not Available |
| Full Name | Antler And Moss Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 756 Ash St, Pocatello, Idaho |
| Authorized Official Name and Position | Jo Anna Shotiveyaratana (OWNER) |
| Authorized Official Contact | 2082525087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antler And Moss Counseling Llc 756 Ash St Pocatello ID 83201-6104 Ph: (208) 252-5087 | Antler And Moss Counseling Llc 756 Ash St Pocatello ID 83201-6104 Ph: (208) 252-5087 |
| NPI Number | 1013726579 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 12/30/2024 |
| Certification Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013726579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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