| Family Counseling Services | |
|
4960 Hawthorne Rd Chubbuck ID 83202-2222 | |
| (208) 233-9709 | |
| Not Available |
| Full Name | Family Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4960 Hawthorne Rd, Chubbuck, Idaho |
| Authorized Official Name and Position | Lori Volkers (OWNER) |
| Authorized Official Contact | 2082339709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Services 4960 Hawthorne Rd Chubbuck ID 83202-2222 Ph: (208) 233-9709 | Family Counseling Services 4960 Hawthorne Rd Chubbuck ID 83202-2222 Ph: (208) 233-9709 |
| NPI Number | 1770757023 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770757023 | NPI | - | NPPES |
| 000010144140 | Other | ID | REGENCY BLUE SHIELD |
| Q1711 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1127 (Idaho) | Primary |
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