| Tueller Counseling Services | |
|
2275 West Broadway Suite G Idaho Falls ID 83402 | |
| (208) 524-7400 | |
| (208) 524-8004 |
| Full Name | Tueller Counseling Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2275 West Broadway Suite G, Idaho Falls, Idaho |
| Authorized Official Name and Position | Jill Smith (BILLING) |
| Authorized Official Contact | 2085247400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tueller Counseling Services 2275 West Broadway, Suite G Idaho Falls ID 83402 Ph: (208) 524-7400 | Tueller Counseling Services 2275 West Broadway Suite G Idaho Falls ID 83402 Ph: (208) 524-7400 |
| NPI Number | 1598012700 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598012700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | LPC2922 (Idaho) | Primary |
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