Organization
FRANCISCAN LIFE CENTER NETWORK, INC.
Active
Parent organization
FRANCISCAN LIFE CENTER NETWORK, INC
Other names
Francisacan Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN LIFE CENTER NETWORK, INC
Authorized official
SISTER MARY PAUL MOLLER LCPC AND LMFT (COUNSELOR)
(208) 233-9383
Entity
Organization
Contact information
Practice address
1745 POCATELLO CREEK RD, POCATELLO, ID 83201-2308
(208) 233-9383
(208) 233-2707
Mailing address
1745 POCATELLO CREEK RD, POCATELLO, ID 83201-2308
(208) 233-9383
(208) 233-2707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCP-204
ID
106H00000X
Marriage & Family Therapist
LMFT-3003
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805747600
—
ID
Enumeration date
10/17/2006
Last updated
06/24/2008
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