| Justine Sweet, Lcsw, Llc | |
|
510 Magnolia Ave Twin Falls ID 83301-6210 | |
| (208) 316-9438 | |
| Not Available |
| Full Name | Justine Sweet, Lcsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Magnolia Ave, Twin Falls, Idaho |
| Authorized Official Name and Position | Justine Sweet (CLINICIAN/OWNER) |
| Authorized Official Contact | 2083169438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justine Sweet, Lcsw, Llc 1525 Addison Ave E D4 Twin Falls ID 83301-5300 Ph: (208) 316-9438 | Justine Sweet, Lcsw, Llc 510 Magnolia Ave Twin Falls ID 83301-6210 Ph: (208) 316-9438 |
| NPI Number | 1518492354 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518492354 | NPI | - | NPPES |
| 1316228976 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Idaho) | Primary |
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