| Aspen Grove Family Therapy, Inc | |
|
213 3rd Ave E Twin Falls ID 83301-6252 | |
| (509) 392-1874 | |
| Not Available |
| Full Name | Aspen Grove Family Therapy, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 213 3rd Ave E, Twin Falls, Idaho |
| Authorized Official Name and Position | Michael Robert Whitehead (OWNER) |
| Authorized Official Contact | 5093921874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Grove Family Therapy, Inc 213 3rd Ave E Twin Falls ID 83301-6252 Ph: (509) 392-1874 | Aspen Grove Family Therapy, Inc 213 3rd Ave E Twin Falls ID 83301-6252 Ph: (509) 392-1874 |
| NPI Number | 1366905416 |
|---|---|
| Provider Enumeration Date | 04/07/2019 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366905416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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