Organization
UPPER VALLEY RESOURCE AND COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA HYMAS (ADMINISTRATOR)
(208) 359-0519
Entity
Organization
Contact information
Practice address
36 N 2ND W, REXBURG, ID 83440-1515
(208) 359-0519
(208) 359-2493
Mailing address
36 N 2ND W, REXBURG, ID 83440-1515
(208) 359-0519
(208) 359-2493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00280900
—
ID
Enumeration date
09/12/2005
Last updated
08/22/2020
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