FULL DISCLOSURE THERAPY NPI 1942021589

NPI Details

FULL DISCLOSURE THERAPY is a marriage family therapist in Eagle, ID. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. FULL DISCLOSURE THERAPY NPI is 1942021589. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

172 S ACADEMY AVE STE 150
EAGLE, ID
ZIP 83616-564
Phone: (208) 668-2701

The provider's authorized official is Julie M Rodin .
The authorized official title is Owner and has the following contact phone number (310) 570-6897.

The enumeration date for this NPI number is 10/17/2024 and was last updated on 10/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: