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Gina H Judd, LPC
Mental Health Counselor in Pocatello, Idaho
NPI 1699005132

Gina H Judd is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Gina H Judd practices in Pocatello, ID and has the professional credentials of LPC. The NPI Number for Gina H Judd is 1699005132 and holds a License No. LPC-4357 (Idaho).

The current practice location address for Gina H Judd is 819 N 12Th Ave, Pocatello, ID and can be reached out via phone at 203-232-2263.

Location: 819 N 12Th Ave, Pocatello, ID, 83201-4741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699005132
Provider Name
Gina H Judd
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
819 N 12Th Ave, Pocatello, ID, 83201-4741
Phone Number
203-232-2263
Fax Number
Provider Enumeration Date
01/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
819 N 12Th Ave
City
Pocatello
State
Idaho
Zip
83201-4741
Phone Number
203-232-2263
Fax Number
person
Provider Business Mailing Address Details
Address
819 N 12Th Ave
City
Pocatello
State
Idaho
Zip
83201-4741
Phone Number
203-232-2263
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC-4357 (Idaho)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPC-4357 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC-4357 (Idaho)
Definition
Definition to come...
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