person
Mr. Beau Alan Kolodzieczak
Mental Health Counselor in Idaho Falls, Idaho
NPI 1255101929

Beau Alan Kolodzieczak is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Beau Alan Kolodzieczak practices in Idaho Falls, ID. The NPI Number for Beau Alan Kolodzieczak is 1255101929 and holds a License No. (Idaho).

The current practice location address for Beau Alan Kolodzieczak is 2265 W Broadway St, Idaho Falls, ID and can be reached out via phone at 208-524-7400.

Location: 2265 W Broadway St, Idaho Falls, ID, 83402-2996
person
Provider Profile Details
NPI Number
1255101929
Provider Name
Beau Alan Kolodzieczak
Credential
Provider Entity Type
Individual
Gender
Male
Address
2265 W Broadway St, Idaho Falls, ID, 83402-2996
Phone Number
208-524-7400
Fax Number
Provider Enumeration Date
01/04/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2265 W Broadway St
City
State
Zip
83402-2996
Phone Number
208-524-7400
Fax Number
person
Provider Business Mailing Address Details
Address
2265 W Broadway St
City
State
Zip
83402-2996
Phone Number
208-524-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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