person
Keaton Jake Suitter, LPC
Mental Health Counselor in Idaho Falls, Idaho
NPI 1639852668

Keaton Jake Suitter is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Keaton Jake Suitter practices in Idaho Falls, ID and has the professional credentials of LPC. The NPI Number for Keaton Jake Suitter is 1639852668 and holds a License No. LPC-9695 (Idaho).

The current practice location address for Keaton Jake Suitter is 502 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-346-7500.

Location: 502 S Woodruff Ave, Idaho Falls, ID, 83401-5298
person
Provider Profile Details
NPI Number
1639852668
Provider Name
Keaton Jake Suitter
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
502 S Woodruff Ave, Idaho Falls, ID, 83401-5298
Phone Number
208-346-7500
Fax Number
Provider Enumeration Date
08/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
502 S Woodruff Ave
City
State
Zip
83401-5298
Phone Number
208-346-7500
Fax Number
person
Provider Business Mailing Address Details
Address
502 S Woodruff Ave
City
State
Zip
83401-5298
Phone Number
208-346-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-9695 (Idaho)
Definition
Definition to come...
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