Organization
UNTANGLED COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE OSMOND LCPC (OWNER)
(208) 705-5424
Entity
Organization
Contact information
Practice address
94 N PINE ST, BLACKFOOT, ID 83221-2052
(208) 352-6640
(208) 417-0975
Mailing address
94 N PINE ST, BLACKFOOT, ID 83221-2052
(208) 352-6640
(208) 417-0975
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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