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Broncho Mental Health
Mental Health Counselor in Pocatello, Idaho
NPI 1023702362

Broncho Mental Health is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Broncho Mental Health practices in Pocatello, ID. The NPI Number for Broncho Mental Health is 1023702362 and holds a License No. (Idaho).

The current practice location address for Broncho Mental Health is 772 E Ross Fork Road #41, Pocatello, ID and can be reached out via phone at 208-220-7520.

Location: 772 E Ross Fork Road #41, Pocatello, ID, 83202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023702362
Provider Name
Broncho Mental Health
Credential
Provider Entity Type
Organization
Address
772 E Ross Fork Road #41, Pocatello, ID, 83202
Phone Number
208-220-7520
Fax Number
Provider Enumeration Date
06/08/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
772 E Ross Fork Road #41
City
Pocatello
State
Idaho
Zip
83202
Phone Number
208-220-7520
Fax Number
person
Provider Business Mailing Address Details
Address
772 E Ross Fork Road #41
City
Pocatello
State
Idaho
Zip
83202
Phone Number
208-220-7520
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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