Creekside Counseling

NPI 1063574226 - Psychologist - 103TC0700X

NPI Details
NPI 1063574226
Enumeration Date 12/14/2006
Last Updated 10/15/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JANET O. JANET
Position CLINICAL DIRECTOR
Phone (208) 529-5777
Fax (208) 529-5778
Practice Location
550 W SUNNYSIDE RD STE 1
IDAHO FALLS ID, 83402-4619, US
Phone (208) 529-5777
Fax (208) 529-5778
Business Location
550 W SUNNYSIDE RD STE 1
IDAHO FALLS ID, 83402-4619, US
Phone (208) 529-5777
Fax (208) 529-5778
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
Remove 1063574226 NPI Number
 

According to our database, Creekside Counseling NPI is 1063574226, taxonomy code is 103TC0700X Creekside Counseling physically located at 550 W Sunnyside Rd Ste 1, Idaho Falls ID, 83402-4619. NPI Number 1033115704 has the healthcare provider type.

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1063574226 NPI number is provided on an as is basis without warranty of any kind. 1063574226 is maintained by the National Plan & Provider Enumeration System. The contents of Creekside Counseling are for informational purposes only.