institution
Candlewood Family Counseling Center, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Pocatello, Idaho
NPI 1093911828

Candlewood Family Counseling Center, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Pocatello, ID and is specialized in Mental Health (Including Community Mental Health Center). Candlewood Family Counseling Center, Inc. practices in Pocatello, ID. The NPI Number for Candlewood Family Counseling Center, Inc. is 1093911828 and holds a License No. (Idaho).

The current practice location address for Candlewood Family Counseling Center, Inc. is 335 N Main St, Pocatello, ID and can be reached out via phone at 208-478-8340 and via fax at 208-478-8341.

Location: 335 N Main St, Pocatello, ID, 83206-2306
institution
Provider Profile Details
NPI Number
1093911828
Provider Name
Candlewood Family Counseling Center, Inc.
Credential
Provider Entity Type
Organization
Address
335 N Main St, Pocatello, ID, 83206-2306
Phone Number
208-478-8340
Fax Number
208-478-8341
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093911828 05 ID
1588860308 05 ID
1912103748 05 ID
1174673305 01 ID PRIVATE INSURANCE
1831395656 05 ID
institution
Provider Business Practice Location Address Details
Address
335 N Main St
City
State
Zip
83204-3108
Phone Number
208-478-8340
Fax Number
208-478-8341
person
Provider Business Mailing Address Details
Address
335 N Main St
City
State
Zip
83204-3108
Phone Number
208-478-8340
Fax Number
208-478-8341
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
(Idaho)
Definition
Definition to come...
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