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Organization
HEALTHY PLACE COUNSELING, INC.
Active
Organization
HEALTHY PLACE COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK R. KORENKE LCPC (OWNER)
(208) 200-4818
Entity
Organization
Contact information
Practice address
255 B ST, SUITE 300, IDAHO FALLS, ID 83402-3566
(208) 524-4818
Mailing address
255 B ST, SUITE 300, IDAHO FALLS, ID 83402-3566
(208) 524-4818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-2788
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806909300
—
ID
Enumeration date
03/14/2007
Last updated
02/23/2016
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