Organization
COUNSELING CENTER OF SOUTHEAST IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY A TAYLOR LCPC (OWNER)
(208) 552-7100
Entity
Organization
Contact information
Practice address
496 A ST, IDAHO FALLS, ID 83402-3617
(208) 552-7100
(208) 552-7101
Mailing address
496 A ST, IDAHO FALLS, ID 83402-3617
(208) 552-7100
(208) 552-7101
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
ID
Other
Enumeration date
05/31/2006
Last updated
07/21/2022
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