Individual
MR. BEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2235 E 25TH ST STE 190, IDAHO FALLS, ID 83404-7539
(208) 991-4296
Mailing address
4479 W 4000 N, REXBURG, ID 83440-3192
(208) 716-3280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-34737
ID
Other
Enumeration date
04/09/2007
Last updated
04/29/2015
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