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Vincent Marasco
Professional Counselor in Pocatello, Idaho
NPI 1801384847

Vincent Marasco is a Professional Counselor based in Pocatello, ID and is specialized in Professional. Vincent Marasco practices in Pocatello, ID. The NPI Number for Vincent Marasco is 1801384847 and holds a License No. 6388 (Idaho).

The current practice location address for Vincent Marasco is 444 Hospital Way Ste 477, Pocatello, ID and can be reached out via phone at 208-233-7832.

Location: 444 Hospital Way Ste 477, Pocatello, ID, 83201-2744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801384847
Provider Name
Vincent Marasco
Credential
Provider Entity Type
Individual
Gender
Male
Address
444 Hospital Way Ste 477, Pocatello, ID, 83201-2744
Phone Number
208-233-7832
Fax Number
Provider Enumeration Date
04/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
444 Hospital Way Ste 477
City
Pocatello
State
Idaho
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
person
Provider Business Mailing Address Details
Address
444 Hospital Way Ste 477
City
Pocatello
State
Idaho
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6388 (Idaho)
Definition
Definition to come...
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