Organization
INNER LIGHT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIE ANN FLAGG LCSW (OWNER/DIRECTOR)
(208) 425-6932
Entity
Organization
Contact information
Practice address
61 E 1ST S, SODA SPRINGS, ID 83276
(208) 425-6932
(435) 417-3113
Mailing address
61 E 1ST S, SODA SPRINGS, ID 83276-1437
(208) 425-6932
(435) 417-3113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
80117423501
UT
Other
Enumeration date
12/08/2014
Last updated
05/16/2018
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