| Counseling & Treatment Center Of Idaho | |
|
339 E 7th N Rexburg ID 83440-5124 | |
| (801) 510-4750 | |
| Not Available |
| Full Name | Counseling & Treatment Center Of Idaho |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 339 E 7th N, Rexburg, Idaho |
| Authorized Official Name and Position | Eric Fernelius (OWNER) |
| Authorized Official Contact | 8015104750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Treatment Center Of Idaho 339 E 7th N Rexburg ID 83440-5124 Ph: (801) 510-4750 | Counseling & Treatment Center Of Idaho 339 E 7th N Rexburg ID 83440-5124 Ph: (801) 510-4750 |
| NPI Number | 1336885136 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336885136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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