Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bannock Youth Foundation

Organization Addiction (Substance Use Disorder) Counselor · NPI 1245665470

Bannock Youth Foundation is an Addiction (Substance Use Disorder) Counselor in Pocatello, Idaho. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
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Practice location Address checks out

110 S 19th
Pocatello, ID 83201
Phone: (208) 234-4722
Fax: (208) 234-2135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1245665470
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBannock Youth Foundation
Authorized official Cindy Hansen — Clinical Director · (208) 234-4722
Other names M.K. Place
NPI enumeratedSeptember 6, 2013
Last updated in NPPESSeptember 6, 2013
Mailing addressP.O. Box 246, Pocatello, ID 83204

Other providers in Pocatello