Organization
WILLOW SAGE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRESIA JONES (OWNER)
(208) 233-1276
Entity
Organization
Contact information
Practice address
211 S WOODRUFF AVE STE A3, IDAHO FALLS, ID 83401-4865
(208) 524-4818
(208) 522-6630
Mailing address
211 S WOODRUFF AVE STE A3, IDAHO FALLS, ID 83401-4865
(208) 233-1276
(208) 233-0835
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/25/2016
Last updated
05/09/2022
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