Organization · Type 2 NPI
Ecetera Therapy Clinic
Mental Health Counselor · Idaho Falls, ID
NPI number
1730886003
Active
Practice location
1070 Riverwalk Dr
Idaho Falls, ID 83402-3341
Mailing address
175 E 18th St
Idaho Falls, ID 83404-6016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1730886003
Ecetera Therapy Clinic's National Provider Identifier is 1730886003, issued on Feb 8, 2023. 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 Feb 15, 2023.