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Search › Idaho › 1041C0700X

Daniel Park, LCSW

NPI 1639502982 · on the registry since 2013

Practice

Address
1001 N 7th Ave
Pocatello, ID 83201
Phone
(208) 425-2489
Organisation at this address
D6 Treatment
Health West, Inc.
Behavioral Enhancement Services & Treatment Llc
Behavioral Enhancement Services & Treatment Llc
Behavioral Enhancement Services & Treatment Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-16

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