| Recovery Rocks Llc | |
|
414 N Lincoln Ave Ste 2 Jerome ID 83338-2300 | |
| (208) 536-0536 | |
| (208) 324-5597 |
| Full Name | Recovery Rocks Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 414 N Lincoln Ave Ste 2, Jerome, Idaho |
| Authorized Official Name and Position | Gerlyn Danette Walker (OWNER) |
| Authorized Official Contact | 2085390838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Rocks Llc 414 N Lincoln Ave Ste 2 Jerome ID 83338-2300 Ph: (208) 324-5431 | Recovery Rocks Llc 414 N Lincoln Ave Ste 2 Jerome ID 83338-2300 Ph: (208) 536-0536 |
| NPI Number | 1164137105 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164137105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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