| Free Spirit Counseling & Consulting | |
|
548 Lomax Street Idaho Falls ID 83401 | |
| (208) 524-3733 | |
| (208) 524-3738 |
| Full Name | Free Spirit Counseling & Consulting |
|---|---|
| Speciality | Psychologist |
| Location | 548 Lomax Street, Idaho Falls, Idaho |
| Authorized Official Name and Position | Caryl M Frugoli (OWNER) |
| Authorized Official Contact | 2085243373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Spirit Counseling & Consulting 548 Lomax Street Idaho Falls ID 83401 Ph: (208) 524-3733 | Free Spirit Counseling & Consulting 548 Lomax Street Idaho Falls ID 83401 Ph: (208) 524-3733 |
| NPI Number | 1326106238 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326106238 | NPI | - | NPPES |
| 516167 | Other | ID | VALUEOPTIONS |
| 000010156871 | Other | ID | REGENCE BLUESHIELD |
| 8M829 | Other | ID | BLUECROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Idaho) | Primary |
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