| Trent P. Turner, Llc | |
|
1070 Hiline Rd Ste 210 Pocatello ID 83201-2947 | |
| (208) 262-4209 | |
| (208) 262-4318 |
| Full Name | Trent P. Turner, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1070 Hiline Rd Ste 210, Pocatello, Idaho |
| Authorized Official Name and Position | Trent Turner (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 2082624209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trent P. Turner, Llc 1070 Hiline Rd Ste 210 Pocatello ID 83201-2947 Ph: (208) 262-4209 | Trent P. Turner, Llc 1070 Hiline Rd Ste 210 Pocatello ID 83201-2947 Ph: (208) 262-4209 |
| NPI Number | 1497053979 |
|---|---|
| Provider Enumeration Date | 03/07/2011 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497053979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-31083 (Idaho) | Primary |
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