Organization
MISTY MOUNTAINS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON HUNT LAMFT (OWNER)
(630) 632-5822
Entity
Organization
Contact information
Practice address
534 TREJO ST # 200J, REXBURG, ID 83440-5408
(530) 949-4774
(219) 200-3367
Mailing address
534 TREJO ST # 200J, REXBURG, ID 83440-5408
(630) 632-5822
(219) 200-3367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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