Organization
SNAKE RIVER FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLIN BEARD LPC (COUNSELOR/OWNER)
(435) 744-3535
Entity
Organization
Contact information
Practice address
495 N SHILLING AVE, BLACKFOOT, ID 83221-2336
(435) 744-3535
Mailing address
495 N SHILLING AVE, BLACKFOOT, ID 83221-2336
(435) 744-3535
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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