| Defunkify Counseling & Consultation, Llc | |
|
3484 N Bryce Canyon Pl Meridian ID 83646-6061 | |
| (208) 971-1054 | |
| Not Available |
| Full Name | Defunkify Counseling & Consultation, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3484 N Bryce Canyon Pl, Meridian, Idaho |
| Authorized Official Name and Position | Tonch Jakovac (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 2089711053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defunkify Counseling & Consultation, Llc 3484 N Bryce Canyon Pl Meridian ID 83646-6061 Ph: () - | Defunkify Counseling & Consultation, Llc 3484 N Bryce Canyon Pl Meridian ID 83646-6061 Ph: (208) 971-1054 |
| NPI Number | 1306411376 |
|---|---|
| Provider Enumeration Date | 05/23/2021 |
| Last Update Date | 05/23/2021 |
| Certification Date | 05/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306411376 | NPI | - | NPPES |
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