| Pine Creek Counseling | |
|
85 S Main St Ste 4 Driggs ID 83422-9702 | |
| (512) 639-4454 | |
| Not Available |
| Full Name | Pine Creek Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 85 S Main St Ste 4, Driggs, Idaho |
| Authorized Official Name and Position | Katelyn Webb (OWNER) |
| Authorized Official Contact | 5126394454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Creek Counseling 1310 Buckskin Loop Victor ID 83455-1327 Ph: (512) 639-4454 | Pine Creek Counseling 85 S Main St Ste 4 Driggs ID 83422-9702 Ph: (512) 639-4454 |
| NPI Number | 1366249906 |
|---|---|
| Provider Enumeration Date | 03/01/2025 |
| Last Update Date | 03/01/2025 |
| Certification Date | 03/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366249906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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