| 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 |
|---|---|
| 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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