NPI age
19 years
Enumerated 2007-05-01
Across 343 active marriage & family therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | Q7421 | BCBS SERVICE # |
| 01 (ID) | 000010156963 | REGENCE BS IDENT. # |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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