Ontaya Acedo, LMSW Valid NPI
Individual provider · Clinical Social Worker · Pocatello, ID
- NPI
- 1104436062
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 8861355 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-08-05
- Last updated
- 2025-03-31
Practice location
151 N 3rd Ave Ste 330
Pocatello, ID 83201-6369
(208) 242-3771