Individual
CASSANDRA R BILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1001 N 7TH AVE STE 135, POCATELLO, ID 83201-5790
(208) 425-2489
Mailing address
335 N MAIN ST, POCATELLO, ID 83204-3108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-7648
ID
101YM0800X
Mental Health Counselor
LPC-6261
ID
Other
Enumeration date
08/23/2016
Last updated
05/05/2022
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