NPI age
16 years
Enumerated 2009-10-09
Across 1998 active counselor providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807375500 | |
| 01 | Q2776 | BLUE CROSS OF IDAHO |
| 01 | 000010016976 | REGENCE BLUESHIELD |
| 05 (ID) | 807348800 |
Multi-provider organization. 2 individual providers on file at this primary address.
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