Organization · Type 2 NPI

Portneuf Valley Family Center

Professional Counselor · Pocatello, ID

NPI number 1174629976 Active

Practice location

444 Hospital Way Ste 477
Pocatello, ID 83201-2744

Call (208) 233-7832 Map

Fax (208) 233-7835

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed
Social Worker 104100000XNone listed
Psychiatry Physician 2084P0800XNone listed
Physician Assistant 363A00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Professional Counselor: Definition to come...

18 other providers at this address

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About NPI 1174629976

Portneuf Valley Family Center's National Provider Identifier is 1174629976, issued on Sep 16, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pocatello, ID. The record was last updated on Jun 27, 2025.