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Organization
REDFORD COUNSELING AND FAMILY SERVICES
Active
Organization
REDFORD COUNSELING AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY ROBB REDFORD LMSW (OWNER)
(208) 604-0098
Entity
Organization
Contact information
Practice address
1501 BENCH RD, POCATELLO, ID 83201-2443
(208) 242-3044
(208) 904-0494
Mailing address
1501 BENCH RD, POCATELLO, ID 83201-2443
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LMSW - 26140
ID
Other
Enumeration date
02/27/2014
Last updated
11/10/2014
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