Individual provider · Type 1 NPI

Mary L. Tashiro, LCSW

Mental Health Counselor · Idaho Falls, ID

NPI number 1346501061 Active

Practice location

2235 E 25th St
Idaho Falls, ID 83404-7519

Fax (208) 522-9859

Mailing address

PO Box 3051
Idaho Falls, ID 83403-3051

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW-32597 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1346501061

Mary L. Tashiro, LCSW's National Provider Identifier is 1346501061, issued on May 30, 2012. 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 Sep 30, 2013.