Individual
MS. SANDRA BILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.ED., LCPC
Contact information
Practice address
150 S ARTHUR AVE STE 221, POCATELLO, ID 83204-3248
(208) 787-9804
Mailing address
PO BOX 3067, POCATELLO, ID 83206-3067
(208) 787-9804
(208) 233-9454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-226
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18413669229
CAQH AND INSURANCE
—
Enumeration date
11/28/2006
Last updated
09/11/2019
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