Millie Gaitan Counseling Pllc | |
160 Main Ave N Twin Falls ID 83301-6101 | |
(208) 733-3024 | |
(208) 733-0929 |
Full Name | Millie Gaitan Counseling Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 160 Main Ave N, Twin Falls, Idaho |
Authorized Official Name and Position | Mildred A Gaitan Gonzalez (OWNER/PROVIDER) |
Authorized Official Contact | 2084211024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Millie Gaitan Counseling Pllc 160 Main Ave N Twin Falls ID 83301-6101 Ph: (208) 733-3024 | Millie Gaitan Counseling Pllc 160 Main Ave N Twin Falls ID 83301-6101 Ph: (208) 733-3024 |
NPI Number | 1619634425 |
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Provider Enumeration Date | 11/29/2021 |
Last Update Date | 11/29/2021 |
Certification Date | 11/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619634425 | NPI | - | NPPES |
0056-0347063 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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