Renee Bozorg-Omid, LPC

NPI 1235376062 · on the registry since 2009 · sole proprietor

Practice

Address: 500 S 11th Ave Ste 302
Pocatello, ID 83201
Phone: (208) 233-0150
Organisation at this address: Judy Pc
Care Llc
Health West, Inc.
Health West, Inc.
Salt Lake City Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 62

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-01-15

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