| |
202 2nd Ave N Ste B Twin Falls ID 83301-6158 | |
(208) 732-6112 | |
(208) 732-6116 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 202 2nd Ave N Ste B, Twin Falls, Idaho |
Authorized Official Name and Position | Inga L Elkin (COUNSELOR) |
Authorized Official Contact | 2087326112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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202 2nd Ave N Ste B Twin Falls ID 83301-6158 Ph: (208) 732-6112 | 202 2nd Ave N Ste B Twin Falls ID 83301-6158 Ph: (208) 732-6112 |
NPI Number | 1992924500 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992924500 | NPI | - | NPPES |
8M880 | Other | ID | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LMSW-26169 (Idaho) | Primary |
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