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Organization
WHITE PINE VENTURES
Active
Organization
WHITE PINE VENTURES
Active
Other names
White Pine Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
PETER HERBERT BENSON LMFT (CEO)
(801) 999-0580
Entity
Organization
Contact information
Practice address
63 E 1ST S, REXBURG, ID 83440-1938
(801) 999-0580
Mailing address
PO BOX 873, REXBURG, ID 83440-0873
(801) 999-0580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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