Organization
RADIANT SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BECKSTEAD LCPC (OWNER)
(208) 943-8838
Entity
Organization
Contact information
Practice address
845 W CENTER ST STE L200, POCATELLO, ID 83204-4205
(208) 943-8838
Mailing address
845 W CENTER ST STE L200, POCATELLO, ID 83204-4205
(208) 943-8838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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