Organization
A CHANCE 4 CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA OSEN LCSW (LCSW/OWNER)
(208) 944-9776
Entity
Organization
Contact information
Practice address
459 LOCUST ST N STE 108, TWIN FALLS, ID 83301-7324
(208) 944-9776
(208) 481-8489
Mailing address
459 LOCUST ST N STE 108, TWIN FALLS, ID 83301-7324
(208) 944-9776
(208) 481-8489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37121
LICENSE
ID
Enumeration date
03/21/2019
Last updated
03/21/2019
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