NPI age
19 years
Enumerated 2007-05-10
Across 1313 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 5128563 | AMERICAN COUNSELING ASSOC |
| 01 | CRC-00014445 | CERTIFIED REHAB COUNSELOR |
| 01 | NCC-64680 | NATIONAL CERT. COUNSELOR |
| 01 | DCC 1776 | DISTANCE CREDENTIALED COUNSELOR - DCC |
| 01 (ID) | LCPC-314 | STATE OF IDAHO |
| 01 | 11834998 | CAQH |
| 05 (ID) | 805716700 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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