Individual
MR. MICHAEL TERRY HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7593
(208) 681-1872
Mailing address
3877 E PEPPERWOOD, RIGBY, ID 83442-5696
(208) 681-1872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-27134
ID
Other
Enumeration date
08/30/2006
Last updated
04/27/2026
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