| D6 Treatment | |
|
1001 N 7th Ave Ste 260 Pocatello ID 83201-5788 | |
| (208) 242-9087 | |
| (208) 242-9115 |
| Full Name | D6 Treatment |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1001 N 7th Ave Ste 260, Pocatello, Idaho |
| Authorized Official Name and Position | Theresa Mccoy (OFFICE MANAGER / BILLING SPECIALIST) |
| Authorized Official Contact | 2082429087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D6 Treatment 1001 N 7th Ave Ste 260 Pocatello ID 83201-5788 Ph: (208) 242-9087 | D6 Treatment 1001 N 7th Ave Ste 260 Pocatello ID 83201-5788 Ph: (208) 242-9087 |
| NPI Number | 1689218018 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689218018 | NPI | - | NPPES |
| 101YA0400X | Other | ID | TAXONOMY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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