Individual provider · NPI-1
Taten Lee Albright, LMSW
Counselor, Mental Health · Idaho Falls, ID
NPI number1164059069
StatusActive
Last updated in NPPESMar 23, 2020
Details
- NPI
- 1164059069
- Entity type
- Individual (NPI-1)
- Name
- Taten Lee Albright
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2020
- Certification date
- Mar 23, 2020
- Last updated
- Mar 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LMSW-39331 | ID | Yes |
Practice location
615 Hoopes AveIdaho Falls, ID 83401-6106
Phone 208-542-0352
Mailing address
967 Hoopes Ave Apt 201Idaho Falls, ID 83404-4705
Phone 208-313-1842
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