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Organization
LOST RIVER COUNSELING PLLC
Active
Organization
LOST RIVER COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JAMES GRIFFIN LCSW (OWNER/THERAPIST)
(208) 219-6304
Entity
Organization
Contact information
Practice address
1070 RIVERWALK DR STE 264, IDAHO FALLS, ID 83402-3343
(208) 219-7655
Mailing address
113 E 14TH ST, IDAHO FALLS, ID 83404-5909
(208) 219-6304
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
06/07/2024
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