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Search › Idaho › 104100000X

Ethan Booker, LMSW

NPI 1740136811 · on the registry since 2026

Practice

Address
1302 E 17th St
Idaho Falls, ID 83404
Phone
(208) 542-9919
Organisation at this address
Pettingill Counseling Pc
Pettingill Counseling Services, Professional Corporation
Pettingill Counseling Services, Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-03

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