Individual
DANIEL STEPHEN FELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4002 E 397 N, RIGBY, ID 83442-5456
(208) 528-7655
Mailing address
2100 ALAN ST, IDAHO FALLS, ID 83404-5801
(208) 528-7655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1228
SD
106H00000X
Marriage & Family Therapist
Primary
10405
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10405
LMFT
ID
01
—
1228
SOUTH DAKOTA LICENSE
SD
01
—
9251
NE LICENSE
NE
Enumeration date
10/26/2010
Last updated
08/13/2024
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