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1841934809
MISTY MOUNTAINS THERAPY, LLC
REXBURG, ID
NPI
1841934809
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Entity Type
Organization
Authorized Contact
JEFFERSON HUNT
Owner
630-632-5822
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
MISTY MOUNTAINS THERAPY, LLC
534 TREJO ST # 200J
REXBURG, ID 83440-5408
Phone number: 530-949-4774
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Mailing Address
MISTY MOUNTAINS THERAPY, LLC
534 TREJO ST # 200J
REXBURG, ID 83440-5408
Phone number: 630-632-5822
Copy
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