Organization
FULL SPECTRUM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOPHIA RAYE HARMISON MSW (COUNSELOR)
(307) 248-1540
Entity
Organization
Contact information
Practice address
805 N ARTHUR AVE, POCATELLO, ID 83204-2803
(208) 274-5925
Mailing address
5136 HENRY AVE, CHUBBUCK, ID 83202-2207
(307) 248-1540
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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