Individual provider · Type 1 NPI
Mary Louise Tompkins
Counselor · Idaho Falls, ID
NPI number
1336576743
Active
Practice location
2275 West Broadway, Suite G
Idaho Falls, ID 83402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPC 2922 (ID) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1336576743
Mary Louise Tompkins's National Provider Identifier is 1336576743, issued on Sep 30, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 30, 2013.