Rocky Mountain Behavioral Health | |
1111 S Orchard St Ste 156 Boise ID 83705-1963 | |
(208) 336-2308 | |
(208) 336-2309 |
Full Name | Rocky Mountain Behavioral Health |
---|---|
Speciality | Counselor - Mental Health |
Location | 1111 S Orchard St Ste 156, Boise, Idaho |
Authorized Official Name and Position | Jennifer Lorena Varner (CLINICAL DIRECTOR) |
Authorized Official Contact | 2083362308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rocky Mountain Behavioral Health 1111 S Orchard St Ste 156 Boise ID 83705-1963 Ph: (208) 336-2308 | Rocky Mountain Behavioral Health 1111 S Orchard St Ste 156 Boise ID 83705-1963 Ph: (208) 336-2308 |
NPI Number | 1205037132 |
---|---|
Provider Enumeration Date | 05/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205037132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCPC- 2754 (Idaho) | Primary |
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