Organization
OPEN TRAILS COUNSELING AND CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA L TRUSSEL BERG LCSW (OWNER/EXECUTIVE DIRECTOR)
(208) 521-9946
Entity
Organization
Contact information
Practice address
2539 CHANNING WAY STE 100, IDAHO FALLS, ID 83404-7558
(208) 538-3450
Mailing address
PO BOX 372, RIGBY, ID 83442-0372
(208) 521-9946
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
07/23/2024
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