Organization
HUMAN DYNAMICS & DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSSA MARIA JONES (OFFICE MANAGER)
(208) 522-0140
Entity
Organization
Contact information
Practice address
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7593
(208) 528-5466
(208) 522-4004
Mailing address
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7593
(208) 528-5466
(208) 522-4004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
ID
251B00000X
Case Management Agency
—
—
Other
Enumeration date
12/31/2009
Last updated
01/28/2010
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