person
Mandy Tate
Mental Health Counselor in Pocatello, Idaho
NPI 1396011284

Mandy Tate is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Mandy Tate practices in Pocatello, ID. The NPI Number for Mandy Tate is 1396011284 and holds a License No. (Idaho).

The current practice location address for Mandy Tate is 2055 Garrett Way, Pocatello, ID and can be reached out via phone at 208-233-7832.

Location: 2055 Garrett Way, Pocatello, ID, 83205-4908
person
Provider Profile Details
NPI Number
1396011284
Provider Name
Mandy Tate
Credential
Provider Entity Type
Individual
Gender
Female
Address
2055 Garrett Way, Pocatello, ID, 83205-4908
Phone Number
208-233-7832
Fax Number
Provider Enumeration Date
03/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2055 Garrett Way
City
State
Zip
83201-5100
Phone Number
208-233-7832
Fax Number
person
Provider Business Mailing Address Details
Address
2055 Garrett Way
City
State
Zip
83201-5100
Phone Number
208-233-7832
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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