LIFE CHANGE ASSOCIATES, PC
Organization (NPI-2)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1598077562- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1777 E CLARK ST SUITE 330, POCATELLO, ID, 832013357
- Phone
- (208) 233-5433
- Fax
- (877) 284-2783
Specialties & Taxonomies
Counselor, Mental Health
License: ID
Physician Assistant
License: ID
Psychiatry & Neurology, Psychiatry
Primary License: ID