institution
Lost River Counseling Pllc
Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho Falls, Idaho
NPI 1750157400

Lost River Counseling Pllc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Idaho Falls, ID and is specialized in Mental Health (Including Community Mental Health Center). Lost River Counseling Pllc practices in Idaho Falls, ID. The NPI Number for Lost River Counseling Pllc is 1750157400 and holds a License No. (Idaho).

The current practice location address for Lost River Counseling Pllc is 1070 Riverwalk Dr Ste 258, Idaho Falls, ID and can be reached out via phone at 208-219-7655.

Location: 1070 Riverwalk Dr Ste 258, Idaho Falls, ID, 83404-5909
institution
Provider Profile Details
NPI Number
1750157400
Provider Name
Lost River Counseling Pllc
Credential
Provider Entity Type
Organization
Address
1070 Riverwalk Dr Ste 258, Idaho Falls, ID, 83404-5909
Phone Number
208-219-7655
Fax Number
Provider Enumeration Date
12/04/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1070 Riverwalk Dr Ste 258
City
State
Zip
83402-3343
Phone Number
208-219-7655
Fax Number
person
Provider Business Mailing Address Details
Address
1070 Riverwalk Dr Ste 258
City
State
Zip
83402-3343
Phone Number
208-219-7655
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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