Individual
CHARLOTTE ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1522 ELK CREEK DRIVE, IDAHO FALLS, ID 83404
(208) 552-0920
(208) 529-2564
Mailing address
1522 ELK CREEK DRIVE, IDAHO FALLS, ID 83404
(208) 552-0920
(208) 529-2564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-602
ID
106H00000X
Marriage & Family Therapist
LMFT-2965
ID
Other
Enumeration date
06/15/2006
Last updated
05/06/2009
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