Individual
RACHAEL CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 N 4TH AVE STE 110, POCATELLO, ID 83201-6391
(208) 236-1600
(208) 236-6695
Mailing address
PO BOX 4908, POCATELLO, ID 83205-4908
(208) 236-1600
(208) 236-6695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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