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Organization

A PENNEY FOR YOUR THOUGHTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PENNEY ROCKHILL LCPC (COUNSELOR)
(208) 419-6102
Entity
Organization

Contact information

Practice address
1820 E 17TH ST STE 190, IDAHO FALLS, ID 83404-6518
(208) 419-6102
(208) 549-9618
Mailing address
1820 E 17TH ST STE 190, IDAHO FALLS, ID 83404-6518
(208) 419-6102
(208) 549-9618

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
12/27/2018
Last updated
07/01/2025
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