Eric Scott Fernelius, LCSW Valid NPI

Individual provider · Clinical Social Worker · Rexburg, ID

NPI

1154545093

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

LCSW-37720 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2007-04-12

Last updated

2022-05-05