Organization
A HEALTHY MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA REBOLLEDO (OWNER)
(208) 969-1002
Entity
Organization
Contact information
Practice address
414 N LINCOLN AVE STE 4, JEROME, ID 83338-2300
(208) 969-1002
Mailing address
725 IDAHO ST, GOODING, ID 83330-1535
(208) 969-1002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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