Individual provider · Type 1 NPI
Savanah Shae Packard, LPC
Mental Health Counselor · Chubbuck, ID
NPI number
1730830811
Active
Practice location
425 Mindy Dr
Chubbuck, ID 83202-2263
Mailing address
1309 Camas St
Blackfoot, ID 83221-3060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-8623 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1730830811
Savanah Shae Packard, LPC's National Provider Identifier is 1730830811, issued on Jan 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chubbuck, ID. The record was last updated on Jan 11, 2022.