Search › Idaho › 1041C0700X
Eric Fernelius, LCSW
NPI 1154545093 · on the registry since 2007
Practice
- Address
- 339 E 7th N
Rexburg, ID 83440 - Phone
- (801) 510-4750
- Organisation at this address
- Counseling & Treatment Center Of Idaho
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1100 W Jackson Rd, Carrollton, TX
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- TX, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho