Mrs Kathleen S Tomazin, LCPC | |
90 W Judicial St, Blackfoot, ID 83221-2715 | |
(208) 782-2060 | |
(208) 782-0209 |
Full Name | Mrs Kathleen S Tomazin |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 90 W Judicial St, Blackfoot, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194942185 | NPI | - | NPPES |
80662262 | Medicaid | ID | |
8059327 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LCPC 332 (Idaho) | Primary |
104100000X | Social Worker | LSW 1810 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Kathleen S Tomazin, LCPC 90 W Judicial St, Blackfoot, ID 83221-2715 Ph: (208) 782-2060 | Mrs Kathleen S Tomazin, LCPC 90 W Judicial St, Blackfoot, ID 83221-2715 Ph: (208) 782-2060 |
News Archive
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