Organization
REDFORD COUNSELING AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY ROBB REDFORD LMSW (OWNER)
(208) 604-0098
Entity
Organization
Contact information
Practice address
1501 BENCH RD, POCATELLO, ID 83201-2443
(208) 242-3044
(208) 904-0494
Mailing address
1501 BENCH RD, POCATELLO, ID 83201-2443
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LMSW - 26140
ID
Other
Enumeration date
02/27/2014
Last updated
11/10/2014
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