| Upper Valley Resource And Counseling Center | |
|
36 N 2nd W Rexburg ID 83440-1515 | |
| (208) 359-0519 | |
| (208) 359-2493 |
| Full Name | Upper Valley Resource And Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 36 N 2nd W, Rexburg, Idaho |
| Authorized Official Name and Position | Rebecca Hymas (ADMINISTRATOR) |
| Authorized Official Contact | 2083590519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Valley Resource And Counseling Center 36 N 2nd W Rexburg ID 83440-1515 Ph: (208) 359-0519 | Upper Valley Resource And Counseling Center 36 N 2nd W Rexburg ID 83440-1515 Ph: (208) 359-0519 |
| NPI Number | 1396730735 |
|---|---|
| Provider Enumeration Date | 09/12/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396730735 | NPI | - | NPPES |
| 00280900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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