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Mary L Tashiro, LCSW
Mental Health Counselor in Idaho Falls, Idaho
NPI 1346501061

Mary L Tashiro is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Mary L Tashiro practices in Idaho Falls, ID and has the professional credentials of LCSW. The NPI Number for Mary L Tashiro is 1346501061 and holds a License No. LCSW-32597 (Idaho).

The current practice location address for Mary L Tashiro is 2235 E 25Th St, Idaho Falls, ID and can be reached out via phone at 208-522-9812 and via fax at 208-522-9859.

Location: 2235 E 25Th St, Idaho Falls, ID, 83403-3051
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Provider Profile Details
NPI Number
1346501061
Provider Name
Mary L Tashiro
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2235 E 25Th St, Idaho Falls, ID, 83403-3051
Phone Number
208-522-9812
Fax Number
208-522-9859
Provider Enumeration Date
05/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805405600 05 ID
institution
Provider Business Practice Location Address Details
Address
2235 E 25Th St
City
State
Zip
83404-7519
Phone Number
208-522-9812
Fax Number
208-522-9859
person
Provider Business Mailing Address Details
Address
2235 E 25Th St
City
State
Zip
83404-7519
Phone Number
208-522-9812
Fax Number
208-522-9859
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCSW-32597 (Idaho)
Definition
Definition to come...
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