Organization · Type 2 NPI

Proactive Living, LLC

Mental Health Counselor · Pocatello, ID

NPI number 1063264778 Active

Practice location

2520 S 5th Ave
Pocatello, ID 83204-1923

Call (208) 233-5433 Map

Fax (877) 284-2783

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1063264778

Proactive Living, LLC's National Provider Identifier is 1063264778, issued on Apr 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Apr 4, 2024.