OrganizationActive
Defunkify Counseling & Consultation, LLC
NPI 1306411376 · Mental Health Clinic/Center (Including Community Mental Health Center) · Meridian, ID
Provider details
- NPI number
- 1306411376
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tonch Jakovac, Executive Director/Owner(208) 971-1053
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
3484 N Bryce Canyon Pl
Meridian, ID 83646-6061
Phone: (208) 971-1054
Approximate (ZIP-level) locationGet directions
Mailing address
3484 N Bryce Canyon Pl
Meridian, ID 83646-6061
Registry dates
- Enumerated
- 2021-05-23
- Last updated
- 2021-05-23
- Certified
- 2021-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.