Organization
FREE SPIRIT COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARYL M FRUGOLI LCSW (OWNER)
(208) 524-3373
Entity
Organization
Contact information
Practice address
548 LOMAX STREET, IDAHO FALLS, ID 83401
(208) 524-3733
(208) 524-3738
Mailing address
548 LOMAX STREET, IDAHO FALLS, ID 83401
(208) 524-3733
(208) 524-3738
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010156871
REGENCE BLUESHIELD
ID
01
—
516167
VALUEOPTIONS
ID
01
—
8M829
BLUECROSS
ID
Enumeration date
12/04/2006
Last updated
07/21/2022
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