| Padron Counseling Services, Llc | |
|
522 Lomax St Idaho Falls ID 83401-2634 | |
| (208) 522-6925 | |
| (208) 522-6934 |
| Full Name | Padron Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 522 Lomax St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Heather Jean Johnson (OFFICE MANAGER) |
| Authorized Official Contact | 2085226925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Padron Counseling Services, Llc 522 Lomax St Idaho Falls ID 83401-2634 Ph: (208) 522-6925 | Padron Counseling Services, Llc 522 Lomax St Idaho Falls ID 83401-2634 Ph: (208) 522-6925 |
| NPI Number | 1023634672 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 06/19/2020 |
| Certification Date | 06/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023634672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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