Individual
MR. RONALD CANTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D,LMFT
Contact information
Practice address
493 EASTLAND DR, TWIN FALLS, ID 83301-7480
(208) 732-0995
(208) 732-0993
Mailing address
493 EASTLAND DR, TWIN FALLS, ID 83301-7480
(208) 732-0995
(208) 732-0993
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LMFT-2687
ID
106H00000X
Marriage & Family Therapist
LMFT-2687
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138522
REGENCE BLUESHIELD
ID
01
—
002082395
FIRST HEALTH
ID
01
—
481086633
TAX IDENTIFICATION
ID
05
—
805997100
—
ID
01
—
Q7421
BLUE CROSS OF IDAHO
ID
01
—
X5952
BLUE CROSS
ID
Enumeration date
04/11/2007
Last updated
09/20/2012
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