| Bay Roots Counseling | |
|
6168 Arapahoe St Pocatello ID 83204-5078 | |
| (251) 725-3907 | |
| Not Available |
| Full Name | Bay Roots Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6168 Arapahoe St, Pocatello, Idaho |
| Authorized Official Name and Position | Madeline B Paul (SELF) |
| Authorized Official Contact | 2517253907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Roots Counseling 6168 Arapahoe St Pocatello ID 83204-5078 Ph: (251) 725-3907 | Bay Roots Counseling 6168 Arapahoe St Pocatello ID 83204-5078 Ph: (251) 725-3907 |
| NPI Number | 1316838055 |
|---|---|
| Provider Enumeration Date | 07/11/2025 |
| Last Update Date | 07/11/2025 |
| Certification Date | 07/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316838055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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