| Evolo Pllc | |
|
416 S Main St Ste 102 Hailey ID 83333-8422 | |
| (208) 727-7360 | |
| Not Available |
| Full Name | Evolo Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 416 S Main St Ste 102, Hailey, Idaho |
| Authorized Official Name and Position | Kathryn E Cannell (OWNER/FOUNDER) |
| Authorized Official Contact | 2087277360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolo Pllc 361 Cranbrook Rd Hailey ID 83333-8817 Ph: (208) 727-7360 | Evolo Pllc 416 S Main St Ste 102 Hailey ID 83333-8422 Ph: (208) 727-7360 |
| NPI Number | 1043075302 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043075302 | NPI | - | NPPES |
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