| Authentic Connections Counseling | |
|
2705 E 17th St Ammon ID 83406-6601 | |
| (208) 219-7010 | |
| Not Available |
| Full Name | Authentic Connections Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2705 E 17th St, Ammon, Idaho |
| Authorized Official Name and Position | Shayla Hickman (OWNER) |
| Authorized Official Contact | 2082197010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Connections Counseling 2705 E 17th St Ammon ID 83406-6601 Ph: () - | Authentic Connections Counseling 2705 E 17th St Ammon ID 83406-6601 Ph: (208) 219-7010 |
| NPI Number | 1629815766 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629815766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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