Organization
CIBRIAN COUNSELING & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIE CIBRIAN LCSW (OWNER)
(208) 970-7901
Entity
Organization
Contact information
Practice address
550 2ND ST, SUITE 290, IDAHO FALLS, ID 83401-3900
(208) 970-7901
Mailing address
5103 RYANNE WAY, IONA, ID 83427-5105
(208) 970-7901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36347
ID
Other
Enumeration date
03/21/2017
Last updated
05/11/2017
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