Organization · Type 2 NPI

Pine Creek Counseling

Mental Health Counselor · Driggs, ID

NPI number 1366249906 Active

Practice location

85 S Main St Ste 4
Driggs, ID 83422-9702

Mailing address

1310 Buckskin Loop
Victor, ID 83455-1327

Other practice locations

  • 125 S King St, Jackson, WY 83001-8124 · (512) 639-4454

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1366249906

Pine Creek Counseling's National Provider Identifier is 1366249906, issued on Mar 1, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Driggs, ID. The record was last updated on Mar 1, 2025.