institution
Modern Psychotherapy Services
Professional Counselor in Eagle, Idaho
NPI 1649674888

Modern Psychotherapy Services is a Professional Counselor based in Eagle, ID and is specialized in Professional. Modern Psychotherapy Services practices in Eagle, ID. The NPI Number for Modern Psychotherapy Services is 1649674888 and holds a License No. LPC-5605 (Idaho).

The current practice location address for Modern Psychotherapy Services is 4875 W Athens Ct, Eagle, ID and can be reached out via phone at 208-731-7646.

Location: 4875 W Athens Ct, Eagle, ID, 83616-5138
institution
Provider Profile Details
NPI Number
1649674888
Provider Name
Modern Psychotherapy Services
Credential
Provider Entity Type
Organization
Address
4875 W Athens Ct, Eagle, ID, 83616-5138
Phone Number
208-731-7646
Fax Number
Provider Enumeration Date
10/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4875 W Athens Ct
City
State
Zip
83616-5138
Phone Number
208-731-7646
Fax Number
person
Provider Business Mailing Address Details
Address
4875 W Athens Ct
City
State
Zip
83616-5138
Phone Number
208-731-7646
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-5605 (Idaho)
Definition
Definition to come...
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