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Organization
ASPEN GROVE FAMILY THERAPY, INC
Active
Organization
ASPEN GROVE FAMILY THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT WHITEHEAD PHD, LMFT (OWNER)
(509) 392-1874
Entity
Organization
Contact information
Practice address
762 FALLS AVE, TWIN FALLS, ID 83301-3316
(208) 258-7681
Mailing address
762 FALLS AVE, TWIN FALLS, ID 83301-3316
(208) 258-7681
(208) 907-0874
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/07/2019
Last updated
04/24/2025
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