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Organization

INTEGRATED HEALTHCARE & COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELIZABETH CAMERON NP (OWNER)
(208) 589-2365
Entity
Organization

Contact information

Practice address
3355 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 589-2365
Mailing address
3355 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 589-2365

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSWO1103
ID
363LF0000X
Family Nurse Practitioner
Primary
NP676A
ID
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
NP676A
ID

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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