| Counseling Center For Children And Families | |
|
2235 E 25th St Suite 290 Idaho Falls ID 83404-7519 | |
| (208) 612-2272 | |
| (208) 525-2662 |
| Full Name | Counseling Center For Children And Families |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2235 E 25th St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Barbara Robinson (OWNER) |
| Authorized Official Contact | 2086122272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center For Children And Families Po Box 3635 Idaho Falls ID 83403-3635 Ph: (208) 525-2090 | Counseling Center For Children And Families 2235 E 25th St Suite 290 Idaho Falls ID 83404-7519 Ph: (208) 612-2272 |
| NPI Number | 1194894964 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194894964 | NPI | - | NPPES |
| 806939600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-755 (Idaho) | Primary |
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