Renaissance Ranch
Renaissance Ranch is an Addiction (Substance Use Disorder) Counselor in Idaho Falls, Idaho. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
1165 S Utah AveIdaho Falls, ID 83402-3321
Phone: (208) 522-6155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1194169359 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Pinegar — Executive Director · (208) 522-6155 |
| NPI enumerated | April 18, 2013 |
| Last updated in NPPES | April 18, 2013 |
| Mailing address | 1165 S Utah Ave, Idaho Falls, ID 83402-3321 |
Other providers in Idaho Falls
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MS. Angelina Lerae Norton, ACADC, MSW
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-
Steven Orme, LCSW
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Padron Counseling Services, LLC
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Mr. Jorge Padron, CADC
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Stephen J Ritchie, LCPC, MAC
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Adam David Rowbury, BSCADC
1020 Land Bank St, Idaho Falls, ID 83402-1809 · (208) 522-6155
-
Amanda Sanchez, CADC
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-
Angela Stott, CADC
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