person
Mrs. Rachel Clark, LPC
Mental Health Counselor in Idaho Falls, Idaho
NPI 1306376843

Rachel Clark is a Mental Health Counselor based in Ammon, ID and is specialized in Mental Health. Rachel Clark practices in Idaho Falls, ID and has the professional credentials of LPC. The NPI Number for Rachel Clark is 1306376843 and holds a License No. LPC-9662 (Idaho).

The current practice location address for Rachel Clark is 381 Shoup Ave Ste 202, Idaho Falls, ID and can be reached out via phone at 208-497-1290.

Location: 381 Shoup Ave Ste 202, Idaho Falls, ID, 83406-4526
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Provider Profile Details
NPI Number
1306376843
Provider Name
Rachel Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
381 Shoup Ave Ste 202, Idaho Falls, ID, 83406-4526
Phone Number
208-497-1290
Fax Number
Provider Enumeration Date
06/18/2017
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
165979709 05 ID
institution
Provider Business Practice Location Address Details
Address
381 Shoup Ave Ste 202
City
State
Zip
83402-3651
Phone Number
208-497-1290
Fax Number
person
Provider Business Mailing Address Details
Address
381 Shoup Ave Ste 202
City
State
Zip
83402-3651
Phone Number
208-497-1290
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-9662 (Idaho)
Definition
Definition to come...
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