| Cherry Springs Counseling, Pllc | |
|
1261 Wilson Ave Ste D Pocatello ID 83201-4307 | |
| (208) 204-0779 | |
| (208) 204-0878 |
| Full Name | Cherry Springs Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1261 Wilson Ave Ste D, Pocatello, Idaho |
| Authorized Official Name and Position | William Clayton Riggs (LPC / OWNER) |
| Authorized Official Contact | 2082040779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Springs Counseling, Pllc 1261 Wilson Ave Ste D Pocatello ID 83201-4307 Ph: (208) 204-0779 | Cherry Springs Counseling, Pllc 1261 Wilson Ave Ste D Pocatello ID 83201-4307 Ph: (208) 204-0779 |
| NPI Number | 1417798521 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 8527505577 |
|---|---|
| Medicare Enrollment ID | O20240807004714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417798521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | William C Riggs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821650250 PECOS PAC ID: 0648613943 Enrollment ID: I20240202003011 |
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