Organization
TUELLER COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL SMITH (BILLING)
(208) 524-7400
Entity
Organization
Contact information
Practice address
2275 WEST BROADWAY SUITE G, IDAHO FALLS, ID 83402
(208) 524-7400
(208) 524-8004
Mailing address
2275 WEST BROADWAY, SUITE G, IDAHO FALLS, ID 83402
(208) 524-7400
(208) 524-8004
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
LPC2922
ID
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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