SEASONS OF HOPE, LLC
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1891008850- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4650 HAWTHORNE RD, CHUBBUCK, ID, 832022376
- Phone
- (208) 237-9833
- Fax
- (208) 237-1800
Specialties & Taxonomies
Psychologist, Clinical
Primary License: ID #psy202423