Heartland Counseling Center Inc

NPI 1467617001 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1467617001
Enumeration Date 07/23/2008
Last Updated 10/29/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CRETE CRETE
Position PRESIDENT/DIRECTOR
Phone (208) 251-2400
Fax (208) 233-4224
Practice Location
303 N 12TH AVE
POCATELLO ID, 83201-4746, US
Phone (208) 251-2400
Fax (208) 233-4224
Business Location
303 N 12TH AVE
POCATELLO ID, 83201-4746, US
Phone (208) 251-2400
Fax (208) 233-4224
Toxanomy
Taxonomy Code 251S00000X
License State Idaho
License Number LCSW-529
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According to our database, Heartland Counseling Center Inc NPI is 1467617001, taxonomy code is 251S00000X and license number is LCSW-529, license state is located at Idaho. Heartland Counseling Center Inc physically located at 303 N 12th Ave, Pocatello ID, 83201-4746. NPI Number 1033115704 has the healthcare provider type.

1467617001 NPI number is provided on an as is basis without warranty of any kind. 1467617001 is maintained by the National Plan & Provider Enumeration System. The contents of Heartland Counseling Center Inc are for informational purposes only.