| The Bridge Counseling, Llc | |
|
493 Eastland Dr Twin Falls ID 83301-7441 | |
| (208) 410-4866 | |
| Not Available |
| Full Name | The Bridge Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 493 Eastland Dr, Twin Falls, Idaho |
| Authorized Official Name and Position | Shannon Kerrick (OWNER) |
| Authorized Official Contact | 2084104866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge Counseling, Llc 2818 Sunray Loop Twin Falls ID 83301-6700 Ph: (208) 720-2969 | The Bridge Counseling, Llc 493 Eastland Dr Twin Falls ID 83301-7441 Ph: (208) 410-4866 |
| NPI Number | 1710547245 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710547245 | NPI | - | NPPES |
| 1811349129 | Other | ID | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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