| Juniper Counseling Pllc | |
|
1075 Riverwalk Drive Suite 258 Idaho Falls ID 83402 | |
| (208) 201-3425 | |
| Not Available |
| Full Name | Juniper Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1075 Riverwalk Drive, Idaho Falls, Idaho |
| Authorized Official Name and Position | Phillip Ashton (LCSW) |
| Authorized Official Contact | 2082013425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juniper Counseling Pllc 2758 E Brooklyn St Ammon ID 83401-1367 Ph: (208) 201-3425 | Juniper Counseling Pllc 1075 Riverwalk Drive Suite 258 Idaho Falls ID 83402 Ph: (208) 201-3425 |
| NPI Number | 1356028625 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356028625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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