Individual provider · Type 1 NPI

Susan Beckstead

Mental Health Counselor · Pocatello, ID

NPI number 1740469121 Active

Practice location

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

Fax (208) 236-6695

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLSW28318 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1740469121

Susan Beckstead's National Provider Identifier is 1740469121, issued on Nov 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Nov 1, 2007.