Organization
GUIDED BY LIGHT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCKENZIE CHRISTENSEN LCPC (OWNER/CLINICIAN)
(208) 557-1836
Entity
Organization
Contact information
Practice address
1448 E CENTER ST STE A, POCATELLO, ID 83201-4105
(208) 557-1836
Mailing address
4833 WILTSHIRE ST, CHUBBUCK, ID 83202-5353
(208) 681-5270
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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