Individual
DAVID BILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
109 N ARTHUR AVE STE 203, POCATELLO, ID 83204-3105
(208) 234-4673
(208) 234-4677
Mailing address
4823 SABRINA DR, CHUBBUCK, ID 83202-7702
(208) 589-9762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-4929
ID
101YP2500X
Professional Counselor
Primary
LPC-4929
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154696748
NPI
ID
Enumeration date
03/14/2012
Last updated
04/12/2018
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