Organization
ALPINE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE HENG LCSW (OWNER)
(208) 522-9812
Entity
Organization
Contact information
Practice address
2235 E 25TH ST STE 220, IDAHO FALLS, ID 83404-7530
(208) 522-9812
(208) 522-9859
Mailing address
2235 E 25TH ST STE 220, IDAHO FALLS, ID 83404-7530
(208) 522-9812
(208) 522-9859
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC 267
ID
1041C0700X
Clinical Social Worker
LCSW 715
ID
Other
Enumeration date
08/18/2006
Last updated
04/27/2011
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