Organization
INNER BALANCE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN POOLE LPC (COUNSELOR)
(703) 608-1457
Entity
Organization
Contact information
Practice address
480 S CACHE ST OFC 16, JACKSON, WY 83001-8222
(703) 608-1457
Mailing address
8025 BROWN TROUT BND, VICTOR, ID 83455-5072
(703) 608-1457
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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