| Upper Valley Resource & Counseling Llc | |
|
1223 S Railroad Ave Sugar City ID 83448-5072 | |
| (208) 359-2493 | |
| Not Available |
| Full Name | Upper Valley Resource & Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1223 S Railroad Ave, Sugar City, Idaho |
| Authorized Official Name and Position | Darrin Robertson (OWNER) |
| Authorized Official Contact | 2082332025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Valley Resource & Counseling Llc Po Box 4789 Pocatello ID 83205-4789 Ph: (208) 233-2025 | Upper Valley Resource & Counseling Llc 1223 S Railroad Ave Sugar City ID 83448-5072 Ph: (208) 359-2493 |
| NPI Number | 1366986408 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366986408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Upper Valley Resource And Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1223 S Railroad Ave, Sugar City, ID 83448 Phone: 208-359-0519 Fax: 208-359-2493 |