Individual provider · Type 1 NPI

Krystalrose Worthington, LCPC

Mental Health Counselor · Ammon, ID

NPI number 1750687992 Active

Practice location

2705 E 17th St
Ammon, ID 83406

Other practice locations

  • 1740 E 17th St, Idaho Falls, ID 83404-6375 · (208) 206-2212

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC-7195 (ID)

Mental Health Counselor: Definition to come...

125 other providers at this address

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About NPI 1750687992

Krystalrose Worthington, LCPC's National Provider Identifier is 1750687992, issued on Feb 6, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ammon, ID. The record was last updated on Feb 14, 2019.