| Reliance Mental Health Pc | |
|
328 W Clark St Pocatello ID 83204-3148 | |
| (208) 478-2172 | |
| (208) 478-2174 |
| Full Name | Reliance Mental Health Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 328 W Clark St, Pocatello, Idaho |
| Authorized Official Name and Position | Parris L Allen (OFFICE MANAGER) |
| Authorized Official Contact | 2084782172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Mental Health Pc Po Box 328 Pocatello ID 83204-0328 Ph: (208) 478-2172 | Reliance Mental Health Pc 328 W Clark St Pocatello ID 83204-3148 Ph: (208) 478-2172 |
| NPI Number | 1821215963 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821215963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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