Mardis, Chester C
Mardis, Chester C is an individual health care provider with primary practice located at 493 Eastland Dr. , Twin Falls ID 83301. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mardis, Chester C can be contacted via phone (208) 732-0995.Contact Information
Primary practice address
493 Eastland Dr.
Twin Falls ID 83301
Phone: (208) 732-0995
Fax: (208) 732-0993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC4840 | Idaho |
Profile Details
| NPI number | 1114203031 |
|---|---|
| LBN Legal business name | Mardis, Chester C |
| Credentials | LPC/NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2011 |
| Last updated | Jan 12th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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