Organization
UPPER VALLEY RESOURCE & COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN ROBERTSON NP (OWNER)
(208) 233-2025
Entity
Organization
Contact information
Practice address
1223 S RAILROAD AVE, SUGAR CITY, ID 83448-5072
(208) 359-2493
Mailing address
PO BOX 4789, POCATELLO, ID 83205-4789
(208) 233-2025
(208) 269-1226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
01/03/2020
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