| Rocky Mountain Behavioral Health | |
|
1111 S Orchard St Ste 156 Boise ID 83705-1963 | |
| (208) 336-2308 | |
| (208) 336-2309 |
| Full Name | Rocky Mountain Behavioral Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1111 S Orchard St Ste 156, Boise, Idaho |
| Authorized Official Name and Position | Jennifer Lorena Varner (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2083362308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Behavioral Health 1111 S Orchard St Ste 156 Boise ID 83705-1963 Ph: (208) 336-2308 | Rocky Mountain Behavioral Health 1111 S Orchard St Ste 156 Boise ID 83705-1963 Ph: (208) 336-2308 |
| NPI Number | 1205037132 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205037132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC- 2754 (Idaho) | Primary |
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