Organization
BAY ROOTS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE B PAUL LCSW (SELF)
(251) 725-3907
Entity
Organization
Contact information
Practice address
6168 ARAPAHOE ST, POCATELLO, ID 83204-5078
(251) 725-3907
Mailing address
6168 ARAPAHOE ST, POCATELLO, ID 83204-5078
(251) 725-3907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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