Individual provider · Type 1 NPI

Mariah J. Cantu, LSW

Counselor · Pocatello, ID

NPI number 1497874523 Active

Practice location

2055 Garrett Way, Suite 1
Pocatello, ID 83201-5100

Call (208) 233-7832 Map

Mailing address

PO Box 4908
Pocatello, ID 83205-4908

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLSW-2632 (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 1497874523

Mariah J. Cantu, LSW's National Provider Identifier is 1497874523, issued on Mar 28, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.