NPI age
20 years
Enumerated 2005-08-02
Across 1313 active counselor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | Q3543 | BLUE CROSS OF IDAHO PROVI |
| 01 (ID) | 0000101364 | BLUE SHIELD OF IDAHO |
Solo or small practice. No other active providers share this practice address in NPPES.
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