| Lds Family Services Id Idaho Falls | |
|
1600 John Adams Pkwy Suite 102 Idaho Falls ID 83401-4300 | |
| (208) 529-5276 | |
| (208) 529-6506 |
| Full Name | Lds Family Services Id Idaho Falls |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1600 John Adams Pkwy, Idaho Falls, Idaho |
| Authorized Official Name and Position | Claigh H Jensen (COUNSELING MANAGER) |
| Authorized Official Contact | 2085295276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services Id Idaho Falls 1600 John Adams Pkwy Suite 102 Idaho Falls ID 83401-4300 Ph: (208) 529-5276 | Lds Family Services Id Idaho Falls 1600 John Adams Pkwy Suite 102 Idaho Falls ID 83401-4300 Ph: (208) 529-5276 |
| NPI Number | 1073662052 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 10/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073662052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 19643 (Idaho) | Primary |
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