NPI age
19 years
Enumerated 2006-06-26
Across 1313 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002648300 | |
| 01 (ID) | 000010006240 | BLUE SHIELD OF IDAHO |
| 01 (ID) | 8333-7 | BLUE CROSS OF IDAHO |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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