| Mental Health Specialists | |
|
210 W Burnside Ave Chubbuck ID 83202-4916 | |
| (208) 238-9000 | |
| (208) 238-9002 |
| Full Name | Mental Health Specialists |
|---|---|
| Speciality | Social Worker |
| Location | 210 W Burnside Ave, Chubbuck, Idaho |
| Authorized Official Name and Position | Ric Boyce (CEO) |
| Authorized Official Contact | 2082389000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Specialists 210 W Burnside Ave Chubbuck ID 83202-4916 Ph: (208) 238-9000 | Mental Health Specialists 210 W Burnside Ave Chubbuck ID 83202-4916 Ph: (208) 238-9000 |
| NPI Number | 1558798108 |
|---|---|
| Provider Enumeration Date | 09/27/2013 |
| Last Update Date | 09/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558798108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 31976 (Idaho) | Primary |
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