Just 4 Kids Mental Health | |
2105 Coronado Street Idaho Falls ID 83404 | |
(208) 534-7881 | |
(208) 242-4464 |
Full Name | Just 4 Kids Mental Health |
---|---|
Speciality | Counselor - Mental Health |
Location | 2105 Coronado Street, Idaho Falls, Idaho |
Authorized Official Name and Position | Aaron Howard Gardner (OWNER) |
Authorized Official Contact | 2085347881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Just 4 Kids Mental Health Po Box 1407 Idaho Falls ID 83403-1407 Ph: (208) 701-0277 | Just 4 Kids Mental Health 2105 Coronado Street Idaho Falls ID 83404 Ph: (208) 534-7881 |
NPI Number | 1700651221 |
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Provider Enumeration Date | 11/15/2023 |
Last Update Date | 10/29/2024 |
Certification Date | 10/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700651221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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