ONTAYA ACEDO LMSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1104436062- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMSW
- Status
- Active
Contact & Location
- Address
- 151 N 3RD AVE STE 330, POCATELLO, ID, 832016369
- Phone
- (208) 242-3771
Specialties & Taxonomies
Social Worker
License: ID #LMSW-39736
Social Worker, Clinical
Primary License: ID #8861355
All Addresses
MAILING
151 N 3RD AVE STE 330
POCATELLO, ID, 832016369