Organization · Type 2 NPI

Blackfoot Medical Clinic Mental Health

Professional Counselor · Blackfoot, ID

NPI number 1265635205 Active

About NPI 1265635205

Blackfoot Medical Clinic Mental Health's National Provider Identifier is 1265635205, issued on Jun 7, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blackfoot, ID. The record was last updated on Aug 22, 2020.