Organization · Type 2 NPI
Delterra
Mental Health Counselor · Rexburg, ID
NPI number
1366188294
Active
Practice location
172 Charles Pl
Rexburg, ID 83440-5452
Fax (855) 710-7572
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 1366188294
Delterra's National Provider Identifier is 1366188294, issued on May 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rexburg, ID. The record was last updated on May 12, 2022.