NPI age
19 years
Enumerated 2006-07-27
Across 1998 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 158951719 | |
| 01 (AR) | 06010014900 | QUALCHOICE PROVIDER # |
| 05 (OK) | 200387180A | |
| 01 (AR) | 9421291 | PHCS PROVIDER # |
| 01 (AR) | 5Y679 | BLUE CROSS PROVIDER # |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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