Organization · NPI-2

Alpine Counseling, PLLC

Counselor, Mental Health · Idaho Falls, ID

NPI number1881708832
StatusActive
Last updated in NPPESApr 27, 2011

Details

NPI
1881708832
Entity type
Organization (NPI-2)
Legal business name
Alpine Counseling, PLLC
Organization subpart
No
Enumeration date
Aug 18, 2006
Last updated
Apr 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLCPC 267IDYes
1041C0700X Social Worker, ClinicalLCSW 715ID

Practice location

2235 E 25th St Ste 220
Idaho Falls, ID 83404-7530

Phone 208-522-9812 · Fax 208-522-9859

Mailing address

2235 E 25th St Ste 220
Idaho Falls, ID 83404-7530

Phone 208-522-9812 · Fax 208-522-9859

Authorized official

Susan Marie Heng
Owner
2085229812

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