| Open Trails Counseling And Consulting Pllc | |
|
2539 Channing Way Ste 100 Idaho Falls ID 83404-7558 | |
| (208) 538-3450 | |
| Not Available |
| Full Name | Open Trails Counseling And Consulting Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2539 Channing Way Ste 100, Idaho Falls, Idaho |
| Authorized Official Name and Position | Joanna L Trussel Berg (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2085219946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Trails Counseling And Consulting Pllc Po Box 372 Rigby ID 83442-0372 Ph: (208) 521-9946 | Open Trails Counseling And Consulting Pllc 2539 Channing Way Ste 100 Idaho Falls ID 83404-7558 Ph: (208) 538-3450 |
| NPI Number | 1619503893 |
|---|---|
| Provider Enumeration Date | 03/19/2020 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619503893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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