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Portneuf Valley Family Center
Counselor in Pocatello, Idaho
NPI 1174629976

Portneuf Valley Family Center is a Counselor based in Pocatello, ID. Portneuf Valley Family Center practices in Pocatello, ID. The NPI Number for Portneuf Valley Family Center is 1174629976 and holds a License No. (Idaho).

The current practice location address for Portneuf Valley Family Center is 444 Hospital Way Ste 477, Pocatello, ID and can be reached out via phone at 208-233-7832 and via fax at 208-233-7835.

Location: 444 Hospital Way Ste 477, Pocatello, ID, 83205-4908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174629976
Provider Name
Portneuf Valley Family Center
Credential
Provider Entity Type
Organization
Address
444 Hospital Way Ste 477, Pocatello, ID, 83205-4908
Phone Number
208-233-7832
Fax Number
208-233-7835
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807338300 05 ID
807319500 05 ID
institution
Provider Business Practice Location Address Details
Address
444 Hospital Way Ste 477
City
Pocatello
State
Idaho
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
208-233-7835
person
Provider Business Mailing Address Details
Address
444 Hospital Way Ste 477
City
Pocatello
State
Idaho
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
208-233-7835
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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