Mandy Tate
Mandy Tate is a Mental Health Counselor in Pocatello, Idaho. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
2055 Garrett Way Ste 1Pocatello, ID 83201-5100
Phone: (208) 233-7832
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1396011284 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 26, 2012 |
| Last updated in NPPES | March 26, 2012 |
| Mailing address | Po Box 4908, Pocatello, ID 83205-4908 |
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