| Guided By Light Counseling, Llc | |
|
1448 E Center St Ste A Pocatello ID 83201-4105 | |
| (208) 557-1836 | |
| Not Available |
| Full Name | Guided By Light Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1448 E Center St Ste A, Pocatello, Idaho |
| Authorized Official Name and Position | Mckenzie Christensen (OWNER/CLINICIAN) |
| Authorized Official Contact | 2085571836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided By Light Counseling, Llc 4833 Wiltshire St Chubbuck ID 83202-5353 Ph: (208) 681-5270 | Guided By Light Counseling, Llc 1448 E Center St Ste A Pocatello ID 83201-4105 Ph: (208) 557-1836 |
| NPI Number | 1215699871 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/12/2021 |
| Certification Date | 10/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215699871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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