Organization
INTEGRATED HEALTHCARE & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BRIDGES LCSW (COUNSELOR)
(208) 523-2080
Entity
Organization
Contact information
Practice address
3355 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 523-2080
(208) 523-2799
Mailing address
3355 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 523-2080
(208) 523-2799
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
ID
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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