Whalio Doctors

NPI 1245353440

John L Christensen PHD PC

Organisation Rehabilitation Counselor Pocatello, ID

Practice location

Address
500 S 11th Ave Suite 302, Pocatello, ID 83201
Phone
(208) 233-0150
Fax
(208) 233-0159
Mailing address
13235 N Manning Ln, Pocatello, ID 83202-5184

Authorised official

Name
Nichole Christensen
Title
Secretary
Phone
(208) 234-1707

Registered specialties (2)

Rehabilitation Counselor Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence PSY202148 (ID)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence PSY202148 (ID)

Registry record

NPI
1245353440
Entity type
Organization
NPI issued
10 Apr 2007
Record last updated
27 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.