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Organization
RILEY MURDOCK INC
Active
Organization
RILEY MURDOCK INC
Active
Other names
Dawn Star Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN RILEY MURDOCK LCSW (OWNER/THERAPIST)
(208) 254-1882
Entity
Organization
Contact information
Practice address
1846 1ST ST # 1011, IDAHO FALLS, ID 83401-4415
(208) 254-1882
Mailing address
1846 1ST ST # 1011, IDAHO FALLS, ID 83401-4415
(208) 254-1882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
175T00000X
Peer Specialist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
10/07/2024
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