Organization
CANDLEWOOD FAMILY COUNSELING CENTER, INC.
Active
Organization
CANDLEWOOD FAMILY COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLA DINGMAN LCSW, ACSW (PRESIDENT, ADMINISTRATOR)
(208) 478-8340
Entity
Organization
Contact information
Practice address
335 N MAIN ST, POCATELLO, ID 83204-3108
(208) 478-8430
(208) 478-8341
Mailing address
PO BOX 2306, 335 N MAIN ST, POCATELLO, ID 83206-2306
(208) 478-8340
(208) 478-8341
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ID
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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