ASPEN BENSON
Individual Provider (NPI-1)
Active
Counselor
Provider Information
- NPI Number
1124719315- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 155 S 2ND AVE STE C, POCATELLO, ID, 832016412
- Phone
- (208) 784-7910
Specialties & Taxonomies
Counselor, Mental Health
License: ID #LPC-9552
Counselor, Professional
License: ID #LPC-9552
Counselor
Primary License: ID #LPC-9552