Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
QUINN BLAKE THIBODEAU, LPC, NCC, M. COUN
Active Sole ProprietorQUINN BLAKE THIBODEAU, LPC, NCC, M. COUN is a Mental Health Counselor healthcare provider located in IDAHO FALLS, Idaho. NPI 1619102183 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1619102183
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2009 (17.190074672219 yrs)
- Last Updated
- Aug 12, 2009
- License
-
LPC-4361 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1891 GRANDVIEW CTIDAHO FALLS, ID, 834022510Browse ID providers · Browse ZIP 83402
- Phone
- 2086817182
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Social Worker
Other Mental Health Counselor Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| JILL REID WEADICK | LCPC | 1740255264 |
| MRS. KATHLENE FAY PARSONS | LCPC, NCC | 1457365504 |
| MS. JENNIFER DEE KERNER | LCPC | 1144315722 |
| MRS. KIRA C LANE | LPC3502 | 1275613556 |
| CASEY PUZEY | LCPC | 1902977929 |
| DR. JANET O. ALLEN | ED.D, LCPC | 1457413205 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.