institution
Lighthouse For Recovery, Llc
Addiction (Substance Use Disorder) Counselor in Pocatello, Idaho
NPI 1013298058

Lighthouse For Recovery, Llc is an Addiction (Substance Use Disorder) Counselor based in Chubbuck, ID and is specialized in Addiction (Substance Use Disorder). Lighthouse For Recovery, Llc practices in Pocatello, ID. The NPI Number for Lighthouse For Recovery, Llc is 1013298058 and holds a License No. LCSW 28016 (Idaho).

The current practice location address for Lighthouse For Recovery, Llc is 1135 Yellowstone Ave, Pocatello, ID and can be reached out via phone at 208-232-2908 and via fax at 208-232-5423. You can also correspond with Lighthouse For Recovery, Llc through the mailing address at 147 W LINDEN AVE, CHUBBUCK, ID - 83202-2306 (mailing address contact number: 208-237-3365).

Location: 1135 Yellowstone Ave, Pocatello, ID, 83202-2306
institution
Provider Profile Details
NPI Number
1013298058
Provider Name
Lighthouse For Recovery, Llc
Credential
Provider Entity Type
Organization
Address
1135 Yellowstone Ave, Pocatello, ID, 83202-2306
Phone Number
208-232-2908
Fax Number
208-232-5423
Provider Enumeration Date
09/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1135 Yellowstone Ave
City
State
Zip
83201-5082
Phone Number
208-232-2908
Fax Number
208-232-5423
person
Provider Business Mailing Address Details
Address
1135 Yellowstone Ave
City
State
Zip
83201-5082
Phone Number
208-232-2908
Fax Number
208-232-5423
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCSW 28016 (Idaho)
Definition
Definition to come...
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