ELIZABETH JANE BALEDGE
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1992645998- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2705 E 17TH ST, AMMON, ID, 834066669
- Phone
- (208) 346-7500
Specialties & Taxonomies
Counselor, Mental Health
Primary