Rachel Clark's National Provider Identifier (NPI) Details
Rachel Clark, LPC
NPI: 1306376843
Enumeration Date: 2017-06-18
Last updated: 2024-07-31
Sole Proprietor: YES
Status: active
Postal Address: 381 SHOUP AVE STE 202, IDAHO FALLS, ID
Phone: 208-497-1290
Primary Practice Address: 440 TIE BREAKER DR, AMMON, ID
Practice's phone: 208-497-1290