Organization · Type 2 NPI
Pearl Healthcare Centers, Inc
Mental Health Counselor · Idaho Falls, ID
NPI number
1316112618
Active
Practice location
11760 S Country Club Dr
Idaho Falls, ID 83404-7848
Mailing address
PO Box 4908
Pocatello, ID 83205-4908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1316112618
Pearl Healthcare Centers, Inc's National Provider Identifier is 1316112618, issued on Apr 28, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 28, 2008.