Individual
REBECCA LYNN FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1262 E 17TH STREET, IDAHO FALLS, ID 83404-6375
(208) 346-0688
Mailing address
5251 BARTON PL, AMMON, ID 83406-5047
(541) 519-3948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3761372
ID
101YP2500X
Professional Counselor
Primary
3761372
ID
Other
Enumeration date
01/03/2013
Last updated
04/01/2026
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