| Redford Counseling And Family Services | |
|
1501 Bench Rd Pocatello ID 83201-2443 | |
| (208) 242-3044 | |
| (208) 904-0494 |
| Full Name | Redford Counseling And Family Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1501 Bench Rd, Pocatello, Idaho |
| Authorized Official Name and Position | Barry Robb Redford (OWNER) |
| Authorized Official Contact | 2086040098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redford Counseling And Family Services 1501 Bench Rd Pocatello ID 83201-2443 Ph: () - | Redford Counseling And Family Services 1501 Bench Rd Pocatello ID 83201-2443 Ph: (208) 242-3044 |
| NPI Number | 1063837003 |
|---|---|
| Provider Enumeration Date | 02/27/2014 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063837003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LMSW - 26140 (Idaho) | Primary |
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