Organization
COVEY LLC
Active
Other names
LifeSTAR Pocatello and Idaho Falls
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID COVEY (OWNER)
(208) 520-9649
Entity
Organization
Contact information
Practice address
730 E CLARK ST # 4571, POCATELLO, ID 83201-6238
(208) 520-9649
Mailing address
730 E CLARK ST # 4571, POCATELLO, ID 83201-6238
(208) 520-9649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/26/2012
Last updated
02/23/2012
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