OrganizationActive
Bannock County Family Treatment Center
NPI 1427437383 · Addiction (Substance Use Disorder) Counselor · Pocatello, ID
Provider details
- NPI number
- 1427437383
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Parent organization
- Bannock County
- Organization subpart
- Yes
- Authorized official
- Kimberly Andrew, Clinical Director(208) 236-7089
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
141 N 6th Ave
Pocatello, ID 83201-6209
Phone: (208) 236-7089
Fax: (208) 236-7097
Approximate (ZIP-level) locationGet directions
Mailing address
141 N 6th Ave
Pocatello, ID 83201-6209
Registry dates
- Enumerated
- 2015-05-26
- Last updated
- 2015-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.