Ifereimi Tabakece, LMSW

NPI 1851040125 · on the registry since 2022

Practice

Address: 109 N Arthur Ave Ste 203
Pocatello, ID 83204
Phone: (208) 234-4673
Fax: (208) 234-4677
Organisation at this address: Hope Tree Inc
Whole Health Haven
Genuine Medical Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho