EVERGREEN COUNSELING LLC

IDAHO FALLS, ID
NPI1285154054
Entity TypeOrganization
Authorized ContactCONNIE CROFT
Billing Manager
208-525-2090
Organization Subpart ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LCPC-2674)
Enumeration Date2017-06-22
Last Update Date2017-06-22
Business Address
EVERGREEN COUNSELING LLC
1920 E 17TH ST STE 240
IDAHO FALLS, ID 83404-8036
Phone number: 208-589-8690
Mailing Address
EVERGREEN COUNSELING LLC
1601 E 17TH ST
IDAHO FALLS, ID 83404-6313
Phone number: 208-525-2090
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