Organization
WILDFLOWER WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISITY D OLSEN LPC (OWNER)
(208) 251-6789
Entity
Organization
Contact information
Practice address
200 S MAIN ST STE P3, POCATELLO, ID 83204-3261
(208) 251-6789
Mailing address
200 S MAIN ST STE P3, POCATELLO, ID 83204-3261
(208) 251-6789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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