Individual
MARK GUNTHER RODEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1262 E 17TH ST, IDAHO FALLS, ID 83404-6147
(208) 346-0688
Mailing address
1262 E 17TH ST, IDAHO FALLS, ID 83404-6147
(208) 346-0688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4784
ID
101YP2500X
Professional Counselor
Primary
LPC-4784
ID
Other
Enumeration date
11/23/2020
Last updated
04/01/2026
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